Gateway Bhs - Pembroke Adult Outpatient

LBN: Gateway Behavioral Health Services
Gateway Bhs - Pembroke Adult Outpatient is an health care organization with primary practice located at 40 E Industrial Blvd , Pembroke GA 31321. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Gateway Behavioral Health Services can be contacted via phone (912) 653-4151, or through Hughes, Wendy via phone (912) 544-8510.

Contact Information

Primary practice address
40 E Industrial Blvd Pembroke GA 31321
Phone: (912) 653-4151
Fax: (912) 653-2886
Website:
Map and Directions
Authorized official contact:
Name: Hughes, Wendy
Phone: (912) 544-8510

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1184753709
LBN Legal business name Gateway Behavioral Health Services
DBA Doing business as Gateway Bhs - Pembroke Adult Outpatient
Authorized official Hughes, Wendy
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2007
Last updated Oct 23rd, 2014 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1184753709 NPPES
Georgia MEDICAID 000606339Z

Popular Providers