Bridgeway Inc

LBN: Bridgeway Inc
Bridgeway Inc is an health care organization with primary practice located at 590 S Deer Rd , Macomb IL 61455-2604. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Bridgeway Inc can be contacted via phone (309) 837-4876, or through Danner, Staci via phone (309) 344-2323.

Contact Information

Primary practice address
590 S Deer Rd Macomb IL 61455-2604
Phone: (309) 837-4876
Fax: (309) 833-1531
Website:
Map and Directions
Authorized official contact:
Name: Danner, Staci
Phone: (309) 344-2323

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 04016 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 04016 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 04016 Illinois
Behavioral Health & Social Service Providers / Social Worker 104100000X 04016 Illinois
Agencies / Community/Behavioral Health 251S00000X 04016 Illinois

Profile Details

NPI number 1861776213
LBN Legal business name Bridgeway Inc
DBA Doing business as
Authorized official Danner, Staci
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2011
Last updated Nov 30th, 2011 - about 14 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 1861776213 NPPES
Illinois Other 04016 MENTAL HEALTH MEDICAID CERTIFICATE

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