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Contact Information

GATEWAY BEHAVIORAL HEALTH SERVICES
275 FIRST STREET EXTENTION
SPRINGFIELD, GA31329
 Phone: 912-754-3040
 Fax: 912-754-7108
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for GATEWAY BEHAVIORAL HEALTH SERVICES

NPI Number 1073646766
LBN Legal business name GATEWAY BEHAVIORAL HEALTH SERVICES
Authorized official RACHEL SKINNER - (DIRECTOR OF REIMBURSEMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/13/2007
Last updated 11/14/2011 - About 15 years ago
Identifiers
GA Medicaid 000622553G
GA Medicaid 000622553R
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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