GATEWAY REHABILITATION CENTER-BADEN (NPI# 1194726745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194726745 |
| Entity Type | Organization |
| Organization Name | GATEWAY REHABILITATION CENTER-BADEN |
| Practice Address |
262 Ohio River Blvd Baden PA 15005-1914 |
| Mailing Address |
311 Rouser Rd Moon Township PA 15108-2719 |
| Practice Telephone | 7248760480 |
| Practice Fax Number | 7248760486 |
| Mailing Telephone | 4126048900 |
| Mailing Fax Number | 4122998755 |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2017-04-07 |
| Authorized Official Name | MR. PAUL BACHARACH (PRESIDENT/CEO) |
| Authorized Official Telephone | 4127668700 |
| Is Organization Subpart | Y |
| Parent Organization Name | GATEWAY REHABILITATION CENTER |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
047045 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007607430084 | 05 | |
| PA | 1007607430059 | 05 | |
| PA | 1007607430065 | 05 |
| Street Address |
262 OHIO RIVER BLVD |
| City | BADEN |
| State | PA |
| Zip Code | 15005-1914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952890378 | Jena Colaberadino | Counselor | 262 Ohio River Blvd, Baden, PA 15005-1914 | 2018-05-02 |
| 1598239220 | John R Mathe | Counselor | 262 Ohio River Blvd, Baden, PA 15005-1914 | 2019-01-16 |
| 1487143707 | Deborah Wagner | Social Worker | 262 Ohio River Blvd, Baden, PA 15005-1914 | 2018-05-02 |
| 1669961082 | Cristina Trout | Counselor | 262 Ohio River Blvd, Baden, PA 15005-1914 | 2018-05-02 |
| 1679062095 | Tara Mcgee | Counselor | 262 Ohio River Blvd, Baden, PA 15005-1914 | 2018-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124025895 | Royce W Wilhelm | Podiatrist | 14 Giant Oak Drive, Baden, PA 15005 | 2005-07-07 |
| 1750909560 | Jennifer Marie Kamzelski | Nurse Practitioner | 1002 Charles St, Baden, PA 15005-1004 | 2020-07-08 |
| 1346256872 | Lisa Wehrle | Physical Therapist | 1630 W State St, Baden, PA 15005-1207 | 2006-08-01 |
| 1326053257 | Giant Eagle Inc | Pharmacy | 1600 W State St, Northern Light Shopping Center, Baden, PA 15005-1207 | 2006-07-29 |
| 1588678536 | John Anthony Kokai | Dentist | 1624 W State St, Northern Lights Shopping Plaza, Baden, PA 15005-1207 | 2006-07-27 |
| 1962444604 | Liberty Dialysis - Baden LLC | Clinic/Center | 1682 W State St, Baden, PA 15005-1207 | 2006-06-10 |
| 1578997979 | Christina Loritz | Pharmacist | 1600 W State St, Baden, PA 15005-1207 | 2013-08-21 |
| 1972889293 | Kathryn Michele Tarquinio | Physical Therapist | 1630 W State St, Baden, PA 15005-1207 | 2011-11-01 |
| 1588801179 | Melissa Ann Morse | Physical Therapist | 1630 W State St, Baden, PA 15005-1207 | 2009-01-19 |
| 1740294792 | Linda Feduska | Dentist | 1624 W State St, Northern Lights Shopping Plaza, Baden, PA 15005-1207 | 2006-07-27 |
| Find all providers in zip 15005 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1841853256 | Trinity Recovery LLP | Clinic/Center | 1311 E State St, Sharon, PA 16146-3246 | 2019-04-22 |
| 1861950909 | Advanced Treatment Centers LLC | Clinic/Center | 60 Abele Rd Ste 1103, Bridgeville, PA 15017-3467 | 2019-03-07 |
| 1467918722 | Melissa Francomacaro | Clinic/Center | 1035 W Walnut St Apt 2, Allentown, PA 18102-4847 | 2019-02-12 |
| 1205390325 | Pyramid Health Care Inc. | Clinic/Center | 100 Upper Demunds Rd, Dallas, PA 18612-8811 | 2019-01-23 |
| Find all providers with the same taxonomy | ||||
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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.