| Gateway Healthcare, Inc | |
|
1516 Atwood Ave Johnston RI 02919-3223 | |
| (401) 553-1000 | |
| (401) 553-1143 |
| Full Name | Gateway Healthcare, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1516 Atwood Ave, Johnston, Rhode Island |
| Authorized Official Name and Position | Joyce Facteau (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 4017248400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Healthcare, Inc 1516 Atwood Ave Johnston RI 02919-3223 Ph: (401) 553-1000 | Gateway Healthcare, Inc 1516 Atwood Ave Johnston RI 02919-3223 Ph: (401) 553-1000 |
| NPI Number | 1891969747 |
|---|---|
| Provider Enumeration Date | 04/22/2008 |
| Last Update Date | 04/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891969747 | NPI | - | NPPES |
| GH56945 | Other | RI | BLUE CROSS CRISIS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | RI633 (Rhode Island) | Primary |
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