BRIDGEWAY INC (NPI# 1316160823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316160823 |
| Entity Type | Organization |
| Organization Name | BRIDGEWAY INC |
| Practice Address |
301 Industrial Park Rd Monmouth IL 61462-9794 |
| Practice Telephone | 3097349461 |
| Practice Fax Number | 3097343909 |
| Mailing Telephone | 3097349461 |
| Mailing Fax Number | 3097343909 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2019-08-19 |
| Authorized Official Name | BILL NELSON (CEO) |
| Authorized Official Telephone | 3093444337 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
IL | Allopathic & Osteopathic Physicians | |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
IL | Allopathic & Osteopathic Physicians | |
| N | 251S00000X | Community/Behavioral Health | =========003 | IL | Agencies |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| 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 |
| 1114140621 | Bridgeway Inc | Counselor | 137 E College St, Kewanee, IL 61443-3703 | 2007-04-11 |
| 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 |
| 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 |
301 INDUSTRIAL PARK RD |
| City | MONMOUTH |
| State | IL |
| Zip Code | 61462-9794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043366495 | Lenna Beth Burnett | Counselor | 301 Industrial Park Rd, Monmouth, IL 61462-9794 | 2007-01-26 |
| 1427425248 | Illinois Medicaid-substance Abuse Monmouth | Counselor | 301 Industrial Park Rd, Monmouth, IL 61462-9794 | 2015-08-27 |
| 1558516575 | Ruth L Dennis | Registered Nurse | 301 Industrial Park Rd, Monmouth, IL 61462-9794 | 2008-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740806942 | Michelle N Smith | Registered Nurse | 1220 E. 2nd Avenue, Monmouth, IL 61462 | 2020-06-23 |
| 1518413103 | Daniel Chard | Emergency Medical Technician, Basic | 331 S. 6th St, Monmouth, IL 61462 | 2016-09-01 |
| 1174079388 | Patrick Spears | Emergency Medical Technician, Paramedic | 601 Industrial Park Road, Monmouth, IL 61462 | 2016-08-28 |
| 1326222993 | Terri Lynn Gittings | Registered Nurse | Industrial Park Road, Bridgeway Inc, Monmouth, IL 61462 | 2007-12-19 |
| 1811011422 | Hancock Mcdonough Roe 21 | Local Education Agency (LEA) | 1301 N Main, Ste 3, Monmouth, IL 61462 | 2007-03-19 |
| 1295870137 | Warren Achievement Center Inc | Case Management | 1220 East Second Avenue, Monmouth, IL 61462 | 2007-02-20 |
| 1265432363 | Community Medical Center of Western Il Inc | Home Health | 1000 W Harlem Ave, Monmouth, IL 61462-1007 | 2005-07-29 |
| 1285253997 | Catherine Jane Steck | Physical Therapist | 1000 W Harlem Ave, Monmouth, IL 61462-1007 | 2020-04-13 |
| 1205482254 | Tonya Renee Gibbs | Nurse Practitioner | 1000 W Harlem Ave, Monmouth, IL 61462-1007 | 2019-08-15 |
| 1285193441 | Carrie Anne Green | Nurse Practitioner | 1000 W Harlem Ave, Monmouth, IL 61462-1007 | 2019-03-18 |
| Find all providers in zip 61462 | ||||
| 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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| 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.