GATEWAY BEHAVIORAL HEALTH SERVICES


Address: 40 E Industrial Blvd, Pembroke, GA 31321
Phone: 9126534151

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
GA 000606339Z 05

Other Provider/Organization Names

Other Name Type Code
Gateway BHS - Pembroke Adult Outpatient Other Name - Individual/Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities GATEWAY BEHAVIORAL HEALTH SERVICES 600 Coastal Village Dr, Brunswick, GA 31520-1973

Office Location

Street Address 40 E INDUSTRIAL BLVD
City PEMBROKE
State GA
Zip Code 31321

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City PEMBROKE
Zip Code 31321

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Dataset Information

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.

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