BRIDGEWAY INC (NPI# 1629319389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629319389 |
| Entity Type | Organization |
| Organization Name | BRIDGEWAY INC |
| Practice Address |
2323 Windish Dr Galesburg IL 61401-9780 |
| Practice Telephone | 3093444250 |
| Practice Fax Number | 3093444368 |
| Mailing Telephone | 3093444250 |
| Mailing Fax Number | 3093444368 |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-06 |
| Authorized Official Name | KRISTY LEE RUSHING (BENEFIT SPECIALIST) |
| Authorized Official Telephone | 3093444250 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
149015718 | IL | Behavioral Health & Social Service Providers |
| 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 |
| 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 |
| 1316160823 | Bridgeway Inc | Psychiatry & Neurology | 301 Industrial Park Rd, Monmouth, IL 61462-9794 | 2007-04-11 |
| 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 |
2323 WINDISH DR |
| City | GALESBURG |
| State | IL |
| Zip Code | 61401-9780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851315535 | Bridgeway Inc | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2006-07-27 |
| 1932741667 | Zoie Gilbertson | Licensed Practical Nurse | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2019-10-15 |
| 1114568078 | Brittany Schisler-davis | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2019-10-02 |
| 1215407366 | Denise Beall | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2018-12-03 |
| 1841769726 | Sherry Bartels | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2018-11-20 |
| 1013486992 | Cheryl Majeske | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2018-11-20 |
| 1285103150 | Jolene Rossell | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2018-11-20 |
| 1942779806 | Sarah Bullock | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2018-11-20 |
| 1568931434 | Katie Perrin | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2018-11-20 |
| 1598234551 | Brad King | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2018-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174973 | Jeff Engwall | Pharmacist | 359 Knox Square Drive, Galesburg, IL 61401 | 2020-11-03 |
| 1861962441 | Becky Cameron | Counselor | 2323 Windish Dr., Galesburg, IL 61401 | 2018-11-27 |
| 1295245496 | Aaron Thomas Wachtel | Dentist | 1172 Monroe Street, Galesburg, IL 61401 | 2017-10-03 |
| 1588182224 | Alicia Warren | Speech-Language Pathologist | 932 Harrison St., Galesburg, IL 61401 | 2017-09-01 |
| 1770986770 | Virginia G Kasser | Psychologist | 575 N Kellogg, Galesburg, IL 61401 | 2014-10-03 |
| 1063814309 | Lakshmi Kalyani Gudavalli | Physical Therapist | 275 E Carl Sandburg Drive, Marigold Rehabilitation, Galesburg, IL 61401 | 2014-09-18 |
| 1821350489 | James Eugene Tiller | Psychologist | 2101 Windish Drive, Galesburg, IL 61401 | 2012-06-11 |
| 1720285836 | Donald J. Regnier | Hearing Instrument Specialist | 4l Plaza, Suite 57, Galesburg, IL 61401 | 2007-07-02 |
| 1306066535 | Arnold John Minor | Dentist | 69 N Chambers St, Galesburg, IL 61401 | 2007-04-30 |
| 1114140373 | Community Residential Centers Inc | Intermediate Care Facility, Mentally Retarded | 239 S Cherry Street, Galesburg, IL 61401 | 2007-04-10 |
| Find all providers in zip 61401 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790897270 | Mark Allen Calvert | Counselor | 2101 Windish Dr, Advanced Behavioral Health Abh, Galesburg, IL 61401 | 2006-08-31 |
| 1740829092 | Shanna Jane Muir | Counselor | 311 E Main St, Galesburg, IL 61401-4855 | 2020-01-03 |
| 1760944144 | Kayla Anderson | Counselor | 311 E Main St Ste 205, Galesburg, IL 61401-4878 | 2019-04-03 |
| 1073096434 | Kristin Spiegel | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2018-09-12 |
| 1972005825 | Rhett Bartlett Butler | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2018-03-07 |
| 1376917161 | Stacey Wyant | Counselor | 311 E Main St, Suite 420, Galesburg, IL 61401-4855 | 2015-11-17 |
| 1023487360 | Julie Schrader | Counselor | 575 N Kellogg St, Suite 4, Galesburg, IL 61401-7608 | 2015-09-16 |
| 1225464415 | Carolyn Marty | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2013-09-19 |
| 1679919542 | Kaleena Williams | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2013-05-17 |
| 1255593315 | Crossroads Counseling and Life Coaching LLC | Counselor | 575 N Kellogg St, Suite 4, Galesburg, IL 61401-7608 | 2008-06-30 |
| Find all providers in GALESBURG | ||||
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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.