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Contact Information

BRIDGEWAY INC
900 S DEER RD
MACOMB, IL61455-2639
 Phone: 309-837-4876
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Case Management

251B00000X
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Community/Behavioral Health

251S00000X
 

Day Training, Developmentally Disabled Services

251C00000X
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for BRIDGEWAY INC

NPI Number 1518185925
LBN Legal business name BRIDGEWAY INC
Authorized official BILL NELSON - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/23/2007
Last updated 07/21/2022 - About 4 years ago
Identifiers
IL License # 011
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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