| Bridgeway, Inc | |
|
1106 Madelyn Ave Macomb IL 61455-3317 | |
| (309) 833-2146 | |
| (309) 833-2199 |
| Full Name | Bridgeway, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1106 Madelyn Ave, Macomb, Illinois |
| Authorized Official Name and Position | William Nelson (CEO) |
| Authorized Official Contact | 3093442323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgeway, Inc 2323 Windish Dr Galesburg IL 61401-9780 Ph: (309) 344-4208 | Bridgeway, Inc 1106 Madelyn Ave Macomb IL 61455-3317 Ph: (309) 833-2146 |
| NPI Number | 1760505044 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760505044 | NPI | - | NPPES |
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