Gateway Healthcare, Inc

LBN: Gateway Healthcare, Inc
Gateway Healthcare, Inc is an health care organization with primary practice located at 249 Roosevelt Ave Ste 205, Pawtucket RI 02860-2134. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Gateway Healthcare, Inc can be contacted via phone (401) 724-8400, or through Granito, Conrad via phone (401) 724-8400.

Contact Information

Primary practice address
249 Roosevelt Ave Ste 205 Pawtucket RI 02860-2134
Fax: (401) 365-1100
Website:
Authorized official contact:
Name: Granito, Conrad Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD09193 Rhode Island

Profile Details

NPI number 1033137211
LBN Legal business name Gateway Healthcare, Inc
DBA Doing business as
Authorized official Granito, Conrad Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1033137211 NPPES
Rhode Island MEDICAID 7005026

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