Bridgeway Inc

LBN: Bridgeway Inc
Bridgeway Inc is an health care organization with primary practice located at 310 Wylie Dr Suite 464, Normal IL 61761-5504. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Bridgeway Inc can be contacted via phone (309) 452-2797, or through Nelson, William via phone (309) 344-2323.

Contact Information

Primary practice address
310 Wylie Dr Suite 464 Normal IL 61761-5504
Phone: (309) 452-2797
Fax: (309) 452-9811
Website:
Map and Directions
Authorized official contact:
Name: Nelson, William
Phone: (309) 344-2323

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 04016 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 04016 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 04016 Illinois
Behavioral Health & Social Service Providers / Social Worker 104100000X 04016 Illinois
Agencies / Community/Behavioral Health 251S00000X 04016 Illinois
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1588948046
LBN Legal business name Bridgeway Inc
DBA Doing business as
Authorized official Nelson, William
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2011
Last updated Aug 19th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588948046 NPPES
Illinois Other AC 217/557-9285 MEDICARE CERTIFICATION
Illinois MEDICAID 04016 MEDICARE CERTIFICATION

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