Bridgeway Inc

LBN: Bridgeway Inc
Bridgeway Inc is an health care organization with primary practice located at 2323 Windish Dr , Galesburg IL 61401-9780. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Bridgeway Inc can be contacted via phone (309) 344-4200, or through Nelson, Bill via phone (309) 344-4200.

Contact Information

Primary practice address
2323 Windish Dr Galesburg IL 61401-9780
Phone: (309) 344-4200
Fax: (309) 344-4281
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Bill LCPC LPHA
Phone: (309) 344-4200

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Illinois
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X Illinois
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X Illinois
Agencies / Community/Behavioral Health 251S00000X Illinois
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X Illinois

Profile Details

NPI number 1851315535
LBN Legal business name Bridgeway Inc
DBA Doing business as
Authorized official Nelson, Bill LCPC LPHA
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2006
Last updated Aug 19th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851315535 NPPES
Illinois Other 001180005 CERTIFIC/LICENSE

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