| Bridgeway Inc | |
|
590 S Deer Rd Macomb IL 61455-2604 | |
| (309) 837-4876 | |
| (309) 833-1531 |
| Full Name | Bridgeway Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 590 S Deer Rd, Macomb, Illinois |
| Authorized Official Name and Position | Staci Danner (BILLING MANAGER) |
| Authorized Official Contact | 3093442323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgeway Inc 590 S Deer Rd Macomb IL 61455-2639 Ph: (309) 836-9910 | Bridgeway Inc 590 S Deer Rd Macomb IL 61455-2604 Ph: (309) 837-4876 |
| NPI Number | 1861776213 |
|---|---|
| Provider Enumeration Date | 10/04/2011 |
| Last Update Date | 11/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861776213 | NPI | - | NPPES |
| 04016 | Other | IL | MENTAL HEALTH MEDICAID CERTIFICATE |
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