BRIDGEWAY, INC (NPI# 1124241625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124241625 |
| Entity Type | Organization |
| Organization Name | BRIDGEWAY, INC |
| Practice Address |
301 W Calhoun St Macomb IL 61455-2154 |
| Mailing Address |
900 S Deer Rd Macomb IL 61455-2639 |
| Practice Telephone | 3098364172 |
| Mailing Telephone | 3098374876 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2018-04-12 |
| 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 | 315P00000X | Intermediate Care Facility, Mentally Retarded | =========022 | IL | Nursing & Custodial Care Facilities |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
IL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407024284 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 639 Hawthorne Ct, Galesburg, IL 61401-1200 | 2008-02-14 |
| 1912175126 | Bridgeway, Inc | Clinic/Center | 2062 E 1st St, Galesburg, IL 61401-6498 | 2008-02-11 |
| 1578788188 | Bridgeway, Inc | Counselor | 1220 W Division St, Kewanee, IL 61443-3390 | 2007-04-17 |
| 1154545879 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 1089 Hawkinson Ave, Galesburg, IL 61401-6900 | 2007-04-12 |
| 1881817385 | Bridgeway, Inc | Intermediate Care Facility, Mentally Retarded | 7 Pollock Dr, Macomb, IL 61455-1216 | 2007-04-11 |
| 1023231537 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 1023 Dewey Ave, Kewanee, IL 61443-3205 | 2007-04-11 |
| 1609099118 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 501 N Grove St, Kewanee, IL 61443-2078 | 2007-04-11 |
| 1194948695 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 1974 Windish Dr, Galesburg, IL 61401-6800 | 2007-04-11 |
| 1790908200 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 1084 Lawrence Ave, Galesburg, IL 61401-2482 | 2007-04-11 |
| 1407079916 | Bridgeway, Inc | Intermediate Care Facility, Mental Illness | 1191 Jefferson St, Galesburg, IL 61401-2617 | 2007-04-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | BRIDGEWAY, INC. | Peter C. Herbst Esq, 355 Prospect St, Torrington, CT 06790 |
| New York State Corporations | BRIDGEWAY, INC. | Charles G Overby II, 26 Foch St, Sayreville, Nj 088721984 |
| Street Address |
301 W CALHOUN ST |
| City | MACOMB |
| State | IL |
| Zip Code | 61455-2154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869944 | Wesley Village, Inc | Speech-Language Pathologist | 1200 East Grant Street, Macomb, IL 61455 | 2019-09-04 |
| 1780154013 | Hannah Lauren Bengtson | Optometrist | 820 E. Jackson St., Macomb, IL 61455 | 2018-11-29 |
| 1255832564 | Lifeguard Ambulance Service of Illinois Inc. | Ambulance | 219 W Jackson St, Macomb, IL 61455 | 2018-02-22 |
| 1821516816 | Michelle Deann Sargeant | Speech-Language Pathologist | 315 N. Bonham, Macomb, IL 61455 | 2017-08-30 |
| 1972020360 | Kara Marie Wright | Speech-Language Pathologist | 315 N. Bonham St., Macomb, IL 61455 | 2017-08-25 |
| 1720356504 | Dawn M. Kedzior | Social Worker | 103 South Johnson Street, Macomb, IL 61455 | 2011-12-07 |
| 1255632642 | Michael Kurt Sharp | Audiologist | Memorial Hall, Second Floor, W Murray St, Macomb, IL 61455 | 2010-11-16 |
| 1952538704 | Mary L. Smith | Developmental Therapist | 1 University Circle, Western Il Univ, Cntr for Best Practices In Early Childhood Education, Macomb, IL 61455 | 2009-06-19 |
| 1982857827 | Macomb Oncology Institute Ltd | Radiology | 401 East Grant Street, Macomb, IL 61455 | 2008-10-23 |
| 1245488345 | Sonja E Schmidt | Social Worker | 119 Wetzel Hall, Western Illinois University, Macomb, IL 61455 | 2008-09-03 |
| Find all providers in zip 61455 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1497135453 | Macomb Counseling Services, LLC | Clinic/Center | 21400 Dogleg Dr, Macomb, MI 48042-4326 | 2015-06-04 |
| 1326168733 | North Central Behavioral Health Systems Inc. | Clinic/Center | 301 E Jefferson St, Macomb, IL 61455-2312 | 2007-03-30 |
| 1407976202 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 301 E Jefferson St, Macomb, IL 61455-2312 | 2007-03-29 |
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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.