Gateway Foundation, Inc.

LBN: Gateway Foundation, Inc.
Gateway Foundation, Inc. is an health care organization with primary practice located at 1080 E Park St , Carbondale IL 62901-3812. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Psychiatric Residential Treatment Facility. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Gateway Foundation, Inc. can be contacted via phone (877) 505-4673, or through Mcgee, Renee Ennis via phone (678) 445-4833.

Contact Information

Primary practice address
1080 E Park St Carbondale IL 62901-3812
Phone: (877) 505-4673
Fax: (618) 549-9540
Website:
Map and Directions
Authorized official contact:
Name: Mcgee, Renee Ennis
Phone: (678) 445-4833

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X A-0538-0003-A Illinois
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X A-0538-0003-A Illinois
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X A-0538-0003-A Illinois

Profile Details

NPI number 1598914095
LBN Legal business name Gateway Foundation, Inc.
DBA Doing business as
Authorized official Mcgee, Renee Ennis
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 9th, 2008
Last updated Dec 28th, 2021 - about 4 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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