BRIDGEWAY INC (NPI# 1114140621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114140621 |
Entity Type | Organization |
Organization Name | BRIDGEWAY INC |
Practice Address |
137 E College St Kewanee IL 61443-3703 |
Practice Telephone | 3098524331 |
Mailing Telephone | 3098524331 |
Enumeration Date | 2007-04-11 |
Last Update Date | 2019-08-20 |
Authorized Official Name | WILLIAM NELSON (CEO) |
Authorized Official Telephone | 3093442323 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
3709841785020 | IL | Behavioral Health & Social Service Providers |
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
=========020 | IL | Behavioral Health & Social Service Providers |
N | 1041C0700X |
Social Worker Specialization: Clinical |
=========020 | IL | Behavioral Health & Social Service Providers |
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
IL | Ambulatory Health Care Facilities | |
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
N | 251C00000X | Day Training, Developmentally Disabled Services | IA | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861776213 | Bridgeway Inc | Counselor | 590 S Deer Rd, Macomb, IL 61455-2604 | 2011-10-04 |
1588948046 | Bridgeway Inc | Counselor | 310 Wylie Dr, Suite 464, Normal, IL 61761-5504 | 2011-10-03 |
1851315535 | Bridgeway Inc | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2006-07-27 |
1629319389 | Bridgeway Inc | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2013-03-06 |
1346524899 | Bridgeway Inc | Community/Behavioral Health | 2079 Edgewater Dr, Pekin, IL 61554 | 2011-10-03 |
1518185925 | Bridgeway Inc | Psychiatry & Neurology | 900 S Deer Rd, Macomb, IL 61455-2639 | 2007-04-23 |
1316160823 | Bridgeway Inc | Psychiatry & Neurology | 301 Industrial Park Rd, Monmouth, IL 61462-9794 | 2007-04-11 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | BRIDGEWAY INC | 620 W Grand, Ponca City, OK 74601-5123 |
Iowa Business Entities | BRIDGEWAY INC | 2323 Windish Dr, Galesburg, IL 61401 |
System for Award Management (SAM) Entities | BRIDGEWAY INC MCKINLEY APARTME | 501 N Grove St Ofc, Kewanee, IL 61443-2076 |
Street Address |
137 E COLLEGE ST |
City | KEWANEE |
State | IL |
Zip Code | 61443-3703 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255809349 | Carol Perva | Registered Nurse | 137 E College St, Kewanee, IL 61443-3703 | 2018-11-06 |
1750859948 | Kyla Carlson | Counselor | 137 E College St, Kewanee, IL 61443-3703 | 2018-11-06 |
1275012692 | Kathleen Morse | Counselor | 137 E College St, Kewanee, IL 61443-3703 | 2018-08-07 |
1386011161 | Illinois Medicaid- Substance Abuse Kewanee | Counselor | 137 E College St, Kewanee, IL 61443-3703 | 2015-08-27 |
1073904348 | Rebekah Frances Dees-mcmahon | Counselor | 137 E College St, Kewanee, IL 61443-3703 | 2015-02-09 |
1104226166 | Kurt Doyle | Social Worker | 137 E College St, Kewanee, IL 61443-3703 | 2014-08-27 |
1740550581 | Lisa Kay Stevens-buck | Counselor | 137 E College St, Kewanee, IL 61443-3703 | 2012-01-11 |
1457533994 | Elaine A Humphrey | Counselor | 137 E College St, Kewanee, IL 61443 | 2007-11-27 |
1639394273 | Tami Marie Beckman | Licensed Practical Nurse | 137 E College St, Kewanee, IL 61443-3703 | 2007-04-17 |
1063638583 | Darylnn Jean Peart | Counselor | 137 E College St, Kewanee, IL 61443-3703 | 2007-04-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013453471 | Kelly Neirynck | Licensed Practical Nurse | 420 E Mill St, Kewanee, IL 61443 | 2017-01-10 |
1275760456 | Daniel P. Congreve | Surgery | 1051 West South Street, Kewanee, IL 61443 | 2009-06-16 |
1215188487 | Petersen Health Care, Inc | Nursing Facility/Intermediate Care Facility | 144 Jounior Ave., Kewanee, IL 61443 | 2008-10-07 |
1114112265 | Carla Greby | Internal Medicine | 2021 Kentville Rd, Iyc Kewanee, Kewanee, IL 61443 | 2007-09-12 |
1740362979 | Petersen Health Systems, Inc | Assisted Living Facility | 808 Sunset Drive, Kewanee, IL 61443 | 2006-10-19 |
1902993652 | Kerry Howard Head | Optometrist | 730 Tenney Street, Kewanee, IL 61443 | 2006-10-06 |
1205927464 | Gordon M Pointer | Chiropractor | 627 East 2nd St, Kewanee, IL 61443 | 2006-09-27 |
1699887729 | Stephen L Rider | Dentist | 125 West South Street, Suite #10, Kewanee, IL 61443 | 2006-08-31 |
1336153121 | Kelli E Rashid | Occupational Therapist | 125 South Street, Suite B, Kewanee, IL 61443 | 2006-07-28 |
1740247394 | Jon A Debord | Physical Therapist | 125 South St, Suite B, Kewanne, IL 61443 | 2006-04-27 |
Find all providers in zip 61443 |
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 |
---|---|---|---|---|
1225639990 | Mindy Forman, Psyd, LLC | Clinic/Center | 1020 Milwaukee Ave Ste 110, Deerfield, IL 60015-3555 | 2020-11-07 |
1346840295 | Stopka Professional Counseling LLC | Clinic/Center | 13125 Steeplechase Dr, New Lenox, IL 60451-1320 | 2020-10-29 |
1346848785 | Wellness Hearted Therapy LLC | Clinic/Center | 2675 S Cedar Glen Dr, Arlington Heights, IL 60005-5303 | 2020-10-16 |
1457959256 | Association for Individual Development | Clinic/Center | 708 N Bridge St, Yorkville, IL 60560-1105 | 2020-10-14 |
1285231555 | Association for Individual Development | Clinic/Center | 236 W Crystal Lake Ave, Crystal Lake, IL 60014-5847 | 2020-10-08 |
1386241123 | Envision Unlimited | Clinic/Center | 1801 N Spaulding Ave, Chicago, IL 60647-4926 | 2020-10-05 |
1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
1619574803 | Envision Unlimited | Clinic/Center | 2124 W 82nd Pl, Chicago, IL 60620-5358 | 2020-10-01 |
1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on BRIDGEWAY INC.
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.