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Contact Information

BRIDGEWAY CENTER, INC
137 HOSPITAL DR NE
FORT WALTON BEACH, FL32548-5063
 Phone: 850-833-7547
 Fax: 850-833-7528
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
Indicates primary specialty

NPI Profile & details for BRIDGEWAY CENTER, INC

NPI # 1952559148
LBN Legal business name BRIDGEWAY CENTER, INC
Authorized official BONNIE BARLOW - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/03/2008
Last updated 06/02/2021 - About 5 years ago
Identifiers
FL License # 0146AD8085-01
FL Medicaid 060398802
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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