Gateway Detroit

LBN: Gateway Detroit
Gateway Detroit is an health care organization with primary practice located at 11457 Shoemaker St , Detroit MI 48213-3418. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Gateway Detroit can be contacted via phone (313) 331-3435, or through Carr, Frederick via phone (313) 331-3435.

Contact Information

Primary practice address
11457 Shoemaker St Detroit MI 48213-3418
Phone: (313) 331-3435
Fax: (313) 924-0609
Website:
Map and Directions
Authorized official contact:
Name: Carr, Frederick B.S.,S.S.T
Phone: (313) 331-3435

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 6803086187 Michigan

Profile Details

NPI number 1831508522
LBN Legal business name Gateway Detroit
DBA Doing business as
Authorized official Carr, Frederick B.S.,S.S.T
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 6th, 2014
Last updated Aug 6th, 2014 - about 11 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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