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Contact Information

BRIDGEWAY INTEGRATED HEALTHCARE SERVICES
6013 S REDWOOD RD
TAYLORSVILLE, UT84123-5220
 Phone: 801-255-5131
 Fax: 801-658-0604
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Counselor

101Y00000X
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BRIDGEWAY INTEGRATED HEALTHCARE SERVICES

NPI Number 1104119619
LBN Legal business name BRIDGEWAY INTEGRATED HEALTHCARE SERVICES
Authorized official NATALIE WHATCOTT - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/17/2011
Last updated 03/17/2026 - About 3 months ago
Identifiers
UT License # 1-08-4502
UT License # 5896085-6004
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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