Gateway Community Health

LBN: Gateway Community Health
Gateway Community Health is an health care organization with primary practice located at 3011 W Grand Blvd Fl 20 Suite 2000, Detroit MI 48202-3022. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Gateway Community Health can be contacted via phone (313) 262-5100, or through Hall, Mitchell via phone (313) 263-2360.

Contact Information

Primary practice address
3011 W Grand Blvd Fl 20 Suite 2000 Detroit MI 48202-3022
Phone: (313) 262-5100
Fax: (313) 875-4715
Website:
Map and Directions
Authorized official contact:
Name: Hall, Mitchell
Phone: (313) 263-2360

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X

Profile Details

NPI number 1881891356
LBN Legal business name Gateway Community Health
DBA Doing business as
Authorized official Hall, Mitchell
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2007
Last updated Jul 6th, 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 1881891356 NPPES
Michigan MEDICAID 3119549

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