GATEWAY BEHAVIORAL HEALTH SERVICES


Address: 115 Frazier Road, Brunswick, GA 31525
Phone: 9122647337

GATEWAY BEHAVIORAL HEALTH SERVICES (NPI# 1609909498) 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) 1609909498
Entity Type Organization
Organization Name GATEWAY BEHAVIORAL HEALTH SERVICES
Other Organization Name GATEWAY BHS - GLYNN FRAZIER GH
Practice Address 115 Frazier Road
Brunswick
GA 31525
Mailing Address 700 Coastal Village Dr
Brunswick
GA 31520-1974
Practice Telephone 9122647337
Practice Fax Number 9122676355
Mailing Telephone 9125548510
Mailing Fax Number 9122645965
Enumeration Date 2007-03-13
Last Update Date 2011-11-14
Authorized Official Name MRS. RACHEL SKINNER (DIRECTOR OF REIMBURSEMENT)
Authorized Official Telephone 9125548498
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 063010271 GA Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
GA 000622553AN 05
GA 000622553Y 05

Other Provider/Organization Names

Other Name Type Code
Gateway BHS - Glynn Frazier GH 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 115 FRAZIER ROAD
City BRUNSWICK
State GA
Zip Code 31525

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063905990 Jonathon Wesley Capps Physician Assistant 1111 Glynco Pkwy Bldg 1, Ste 10, Brunswick, GA 31525 2018-06-14
1366993628 Hands Down Muscle Restoration, Inc Homeopath 1212 Chapel Crossing Road, Brunswick, GA 31525 2016-10-20
1619424173 Jebediah S Christy Dds - Brunswick Pllc Dentist 11455 Canal Crossing, Brunswick, GA 31525 2016-09-01
1831545508 Heller Family Medicine, LLC General Practice 208 Scranton Connector Ste 120, Brunswick, GA 31525 2016-05-11
1437525391 Natisha Danielle Hill Occupational Therapy Assistant 138 Wingefield Commons Drive, Brunswick, GA 31525 2015-08-14
1811269632 Solar Family Practice Family Medicine 122 Scranton Connector, Suite 112, Brunswick, GA 31525 2012-02-09
1700187895 Chetan Patel Pharmacist 12 Woodfall Ct, Brunswick, GA 31525 2010-11-05
1194914275 Dialysis of Golden Isles, LLC Clinic/Center 475 Gateway Center Blvd, Brunswick, GA 31525 2007-10-15
1902939325 Gateway Behavioral Health Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 111 Frazier Street, Brunswick, GA 31525 2007-03-14
1306979000 Gateway Behavioral Health Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 119 Hidden Lakes Drive, Brunswick, GA 31525 2007-03-13
Find all providers in zip 31525

Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629617477 Compass Bridges LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 14 Arrowhead Dr, Brunswick, ME 04011-7420 2019-12-26
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
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
1306970207 Gateway Behavioral Health Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 727 Pine Haven Circle, Brunswick, GA 31520 2007-03-15
1902939325 Gateway Behavioral Health Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 111 Frazier Street, Brunswick, GA 31525 2007-03-14
1124151980 Gateway Behavioral Health Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 107 Baybridge Dr, Brunswick, GA 31525-1818 2007-03-13
1306979000 Gateway Behavioral Health Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 119 Hidden Lakes Drive, Brunswick, GA 31525 2007-03-13
1568500585 Pathways of Maine, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 16 Burbank Ave, Brunswick, ME 04011-2878 2007-02-02
1255606810 Gateway Behavioral Health Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 700 Coastal Village Dr, Brunswick, GA 31520-1974 2012-03-15
1912271461 Gateway Behahvioral Health Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 700 Coastal Village Dr, Brunswick, GA 31520-1974 2012-03-01
Find all providers in BRUNSWICK

Competitor

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City BRUNSWICK
Zip Code 31525

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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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