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Contact Information

GATEWAY BEHAVIORAL HEALTH SERVICES
40 E INDUSTRIAL BLVD
PEMBROKE, GA31321
 Phone: 912-653-4151
 Fax: 912-653-2886
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for GATEWAY BEHAVIORAL HEALTH SERVICES

NPI Number 1184753709
LBN Legal business name GATEWAY BEHAVIORAL HEALTH SERVICES
Authorized official WENDY HUGHES - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/02/2007
Last updated 10/23/2014 - About 12 years ago
Identifiers
GA Medicaid 000606339Z
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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