BRIDGEWAY HEALTH SERVICES, LLC (NPI# 1073811097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073811097 |
| Entity Type | Organization |
| Organization Name | BRIDGEWAY HEALTH SERVICES, LLC |
| Practice Address |
1032 S Bridge Way Pl Eagle ID 83616-6099 |
| Practice Telephone | 2082460123 |
| Practice Fax Number | 2082460125 |
| Mailing Telephone | 2082460123 |
| Mailing Fax Number | 2082460125 |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2012-03-07 |
| Authorized Official Name | DR. GRANT BELNAP (OWNER) |
| Authorized Official Telephone | 2082460123 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
M7357 | ID | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619231784 | Bridgeway Health Services, LLC | Clinic/Center | 1032 S Bridge Way Pl Ste 110, Eagle, ID 83616-6099 | 2012-07-03 |
| 1265703953 | Bridgeway Health Services, LLC | Clinic/Center | 1032 S. Bridgeway Pl, Ste 110, Eagle, ID 83616 | 2012-01-26 |
| Street Address |
1032 S BRIDGE WAY PL |
| City | EAGLE |
| State | ID |
| Zip Code | 83616-6099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285773879 | William Blair | Social Worker | 1032 S Bridge Way Pl, Suite 100, Eagle, ID 83616-6099 | 2007-02-06 |
| 1720348097 | Tiffany Jean Krumm | Counselor | 1032 S Bridge Way Pl, Eagle, ID 83616-6099 | 2012-05-21 |
| 1124395900 | Patricia Rose Koepl | Nurse Practitioner | 1032 S Bridge Way Pl, Suite 100, Eagle, ID 83616-6099 | 2011-11-22 |
| 1356481790 | Grant B Belnap | Psychiatry & Neurology | 1032 S Bridge Way Pl, Suite 100, Eagle, ID 83616-6099 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714049 | Care Medical Housecalls PC | Nurse Practitioner | 2040 E Holgate Ct, Eagle, ID 83616 | 2020-03-06 |
| 1629613823 | Counseling Solutions Center LLC | Marriage & Family Therapist | 2618 East Snocreek, Eagle, ID 83616 | 2019-11-12 |
| 1245726918 | Tracy Lyn Hagadorn | Midwife | 182 State Street, Eagle, ID 83616 | 2018-07-06 |
| 1861922627 | Nicholas A. Stelzner | Counselor | 2419 W. State St. Suite 8, Boise, ID 83616 | 2017-06-14 |
| 1184080210 | Gabriel Guerrero | Dermatology | 323 E Riverside Dr Ste 234, Eagle, ID 83616 | 2016-01-05 |
| 1376940668 | Cecilia Jo Hickam | Dental Hygienist | 1121 E. State Street, Suite - 102-d, Eagle, ID 83616 | 2014-12-02 |
| 1871912634 | Christine E Birch | Psychiatry & Neurology | 1032 S Bridgeway Pl Ste 110, Eagle, ID 83616 | 2014-04-09 |
| 1043552524 | Tori Croshaw | Social Worker | 372 S Eagle Rd Ste 190, Eagle, ID 83616 | 2013-03-21 |
| 1053650010 | Kellie Ann Northam | Nurse Practitioner | 192 West State Street, Eagle, ID 83616 | 2013-02-11 |
| 1437494457 | Mary Beth Roehling | Nurse Practitioner | 2040 E Hologate Ct, Eagle, ID 83616 | 2012-12-03 |
| Find all providers in zip 83616 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245841048 | Green Ribbon Mental Wellness and Family Health | Clinic/Center | 21903 Woodland Hills Cir, Eagle, NE 68347-7026 | 2020-08-14 |
| 1619231784 | Bridgeway Health Services, LLC | Clinic/Center | 1032 S Bridge Way Pl Ste 110, Eagle, ID 83616-6099 | 2012-07-03 |
| 1770847311 | Eagle River Psychiatry and Counseling | Clinic/Center | 1032 S Bridge Way Pl Ste 100, Eagle, ID 83616-6099 | 2012-06-28 |
| 1265703953 | Bridgeway Health Services, LLC | Clinic/Center | 1032 S. Bridgeway Pl, Ste 110, Eagle, ID 83616 | 2012-01-26 |
| 1033774369 | Colorado West Regional Mental Health, Inc. | Clinic/Center | 137 Howard Street, Eagle, CO 81632 | 2019-05-02 |
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| 1487273637 | Answers, LLC - Cbrs | Clinic/Center | 855 N Capital Ave Ste 1, Idaho Falls, ID 83402-3405 | 2020-04-08 |
| 1649808767 | Psychological Preventative Health Pllc | Clinic/Center | 4831 Greystone Ln, Idaho Falls, ID 83404-8338 | 2020-04-01 |
| 1073148623 | Begin Within Counseling, LLC | Clinic/Center | 943 W Overland Rd Ste 111, Meridian, ID 83642-6541 | 2020-03-04 |
| 1871126797 | Avanzar Wellness LLC | Clinic/Center | 11513 W Fairview Ave Ste 105, Boise, ID 83713-7887 | 2020-02-19 |
| 1174155741 | Noble Intent | Clinic/Center | 1406 N Main St Ste 204, Meridian, ID 83642-1746 | 2020-02-11 |
| 1194362517 | Advanced Counseling LLC | Clinic/Center | 39 W Pine Ave, Meridian, ID 83642-2281 | 2019-12-04 |
| 1629615406 | Building A Life Worth Living, LLC | Clinic/Center | 771 S Woodruff Ave, Idaho Falls, ID 83401-5286 | 2019-11-29 |
| 1750927281 | Weme Counseling and Clinical Consultation | Clinic/Center | 231 N Third Ave Ste 207, Sandpoint, ID 83864-1418 | 2019-11-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.