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Contact Information

GATEWAY BEHAVIORAL HEALTH SERVICES
600 COASTAL VILLAGE DRIVE, ROOM 107
BRUNSWICK, GA31520
 Phone: 912-554-8467
 Fax: 912-280-1536
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for GATEWAY BEHAVIORAL HEALTH SERVICES

NPI Number 1134214943
LBN Legal business name GATEWAY BEHAVIORAL HEALTH SERVICES
Authorized official JAMES SMITH - (PHARMACY MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/04/2006
Last updated 04/21/2011 - About 15 years ago
Identifiers
GA License # PHRE004593
GA Medicaid 00176756A
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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