GATEWAY BEHAVIORAL HEALTH SERVICES (NPI# 1184753709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184753709 |
Entity Type | Organization |
Organization Name | GATEWAY BEHAVIORAL HEALTH SERVICES |
Other Organization Name | GATEWAY BHS - PEMBROKE ADULT OUTPATIENT |
Practice Address |
40 E Industrial Blvd Pembroke GA 31321 |
Mailing Address |
700 Coastal Village Dr Brunswick GA 31520-1974 |
Practice Telephone | 9126534151 |
Practice Fax Number | 9126532886 |
Mailing Telephone | 9122640979 |
Mailing Fax Number | 9122645965 |
Enumeration Date | 2007-03-02 |
Last Update Date | 2014-10-23 |
Authorized Official Name | WENDY HUGHES (CFO) |
Authorized Official Telephone | 9125448510 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 000606339Z | 05 |
Other Name | Type Code |
---|---|
Gateway BHS - Pembroke Adult Outpatient | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
1619519709 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 516 Freedom Trl, Brunswick, GA 31525-4712 | 2019-10-10 |
1902451693 | Gateway Behavioral Health Services | Community/Behavioral Health | 210 E 15th St Ste A, Woodbine, GA 31569-5501 | 2019-08-08 |
1497042303 | Gateway Behavioral Health Services | Community/Behavioral Health | 2 Lodge Rd, Hwy 17 North, Brunswick, GA 31525-2011 | 2011-06-30 |
1366737330 | Gateway Behavioral Health Services | Community/Behavioral Health | 3441 Cypress Mill Rd, Brunswick, GA 31520-2878 | 2011-06-17 |
1750672242 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6055 New Jesup Hwy, Brunswick, GA 31523-1629 | 2011-05-02 |
1497054522 | Gateway Behavioral Health Services | Counselor | 3 Oglethorpe Professional Blvd, Savannah, GA 31406-3603 | 2011-03-15 |
1124254321 | Gateway Behavioral Health Services | Community Based Residential Treatment Facility, Mental Illness | 121 Burgess Rd, Brunswick, GA 31523-9311 | 2009-06-03 |
1558595983 | Gateway Behavioral Health Services | Community/Behavioral Health | 3045 Scarlett Street, Brunswick, GA 31520-1251 | 2009-05-13 |
1356587224 | Gateway Behavioral Health Services | Counselor | 515 E. 63rd Street, Suite 1, Savannah, GA 31405 | 2008-12-26 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | GATEWAY BEHAVIORAL HEALTH SERVICES | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
Street Address |
40 E INDUSTRIAL BLVD |
City | PEMBROKE |
State | GA |
Zip Code | 31321 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679198410 | Lorri Michelle Strickland | Counselor | 1040 Us Hwy 280 W, Pembroke, GA 31321 | 2020-06-08 |
1649830001 | Jennifer Creek Poston | Physical Medicine & Rehabilitation | 105 East Bacon Street, Pembroke, GA 31321 | 2019-06-18 |
1790289544 | Effingham Rehab Services, LLC | Clinic/Center | 105 E Bacon St, Pembroke, GA 31321 | 2018-03-19 |
1356539894 | Kristen Altman | Physical Therapist | 205 East Bacon Steet, Pembroke, GA 31321 | 2007-10-10 |
1366573297 | Malken Pharm Services Inc | Pharmacy | 137 E. Bacon St, Pembroke, GA 31321 | 2007-03-09 |
1972611663 | Bryan County Emergency Medical Service | Ambulance | 116 Lanier Street, Pembroke, GA 31321 | 2006-08-25 |
1154349850 | Saint Josephs Medical Group Inc | Family Medicine | 159 West Railroad St, Pembroke, GA 31321 | 2006-07-18 |
1003265836 | Harley Hendrix | Family Medicine | 159 W. Railroad Street, Pembroke, GA 31321 | 2016-06-13 |
1760886402 | Sharon Estill | Registered Nurse | 430 Ledford Street, Pembroke, GA 31321 | 2014-10-09 |
1033513775 | Joanne S Burnsed | Registered Nurse | 430 Ledford Street, Pembroke, GA 31321 | 2014-10-09 |
Find all providers in zip 31321 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528516861 | Rock Island Special Education & Behavior Services, LLC | Community/Behavioral Health | 34 Anthony Dr, Pembroke, MA 02359-2129 | 2016-09-15 |
1962784397 | Foundation for Families, LLC | Community/Behavioral Health | 30 Three Hunts Dr, Suite B, Pembroke, NC 28372-7316 | 2011-09-12 |
1013241751 | Crossroads Associates | Community/Behavioral Health | 406 Blaine St, Pembroke, NC 28372-9640 | 2009-09-29 |
1982834073 | Chaparral Youth Services | Community/Behavioral Health | 56 Three Hunts Dr, Pembroke, NC 28372-8998 | 2009-07-23 |
1306070644 | Ms. Shelvie's Professional Center | Community/Behavioral Health | 518 Union Chapel Rd, Pembroke, NC 28372-9532 | 2009-05-14 |
1376784215 | Southeastern United Care, LLC | Community/Behavioral Health | 30 Drakes Branch Dr., Pembroke, NC 28372-7325 | 2009-03-23 |
1487894408 | Comfort Care Services, LLC | Community/Behavioral Health | 112 East Third Street, Pembroke, NC 28372-8684 | 2009-03-03 |
1316191448 | Crossroads Associates | Community/Behavioral Health | 306-a Normal St, Pembroke, NC 28372-1148 | 2008-11-17 |
1942468871 | Positive Progress Services | Community/Behavioral Health | 305 East Third Street, Ste 5, Pembroke, NC 28737-8372 | 2008-05-28 |
1669655353 | Native American Interfaith Ministries | Community/Behavioral Health | 450 Prospect Road, Pembroke, NC 28372 | 2007-12-17 |
Find all providers in PEMBROKE |
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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.