Gateway Bhs - Glynn Tc Comp

LBN: Gateway Behavioral Health Services
Gateway Bhs - Glynn Tc Comp is an health care organization with primary practice located at 2809 4Th Street , Brunswick GA 31520. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Gateway Behavioral Health Services can be contacted via phone (912) 264-1674, or through Parks, William via phone (912) 554-8464.

Contact Information

Primary practice address
2809 4Th Street Brunswick GA 31520
Phone: (912) 264-1674
Fax: (912) 262-9836
Website:
Map and Directions
Authorized official contact:
Name: Parks, William CPA CFO
Phone: (912) 554-8464

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1467582965
LBN Legal business name Gateway Behavioral Health Services
DBA Doing business as Gateway Bhs - Glynn Tc Comp
Authorized official Parks, William CPA CFO
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2007
Last updated Oct 19th, 2011 - about 13 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 1467582965 NPPES
Georgia MEDICAID 000625424C

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