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BRIDGEWAY INC
NPI 1346524899
Clinic/Center - Mental Health (Including Community Mental Health Center) in Pekin, IL

Active since October 03, 2011
2079 EDGEWATER DR, PEKIN, IL 61554(309) 382-2006(309) 382-2007 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2022, Aug 19, 2019, Sep 12, 2018 and 1 more (4 updates tracked since 2018).

About Bridgeway Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIDGEWAY INC (NPI 1346524899) is a healthcare organization registered as a mental health (including community mental health center) in Pekin, Illinois and active in the NPI registry since October 2011. The organization maintains a secondary practice location in Pekin and lists William Nelson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1346524899
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBRIDGEWAY INC
Location Address2079 EDGEWATER DRPekin, IL 61554
Mailing Address2079 Edgewater DrPekin, IL 61554-7833 · (309) 382-2006 · Fax (309) 382-2007
Phone(309) 382-2006
Fax(309) 382-2007
Organization SubpartNo
Authorized OfficialWilliam NelsonCeo · (309) 344-2323
Enumeration DateOctober 3, 2011
Last NPPES UpdateJuly 25, 20224 updates tracked since enumeration
NPPES CertifiedJuly 25, 2022
✔ NPI 1346524899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 04016 (IL)
2079 EDGEWATER DR, Pekin, IL 61554
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Secondary Practice Location 1

Location 12079 Edgewater DrPekin, IL 61554 · Phone (309) 382-2006 · Fax (309) 382-2007

Other Identifiers 2

Medicaid04016IL
OtherAC 217/557-9285IL · Medicare Certification

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBRA MOLLIE DAVIS RN BSN
Registered Nurse (Case Management)
2079 EDGEWATER DR
PEKIN, IL 61554
Tazewell County (309) 382-2006
RICHARD MCCOY RN
Registered Nurse (Psychiatric/Mental Health)
2079 EDGEWATER DR
NORTH PEKIN, IL 61554
Tazewell County (309) 382-2006
DARLENE KAY HARRISON RN
Registered Nurse
2079 EDGEWATER DR
PEKIN, IL 61554
Tazewell County (309) 382-2006
TINA I CRAWFORD RN
Registered Nurse (Psychiatric/Mental Health, Adult)
2079 EDGEWATER DR
PEKIN, IL 61554
Tazewell County (309) 382-2006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bridgeway Inc's NPI number?

The NPI number for Bridgeway Inc is 1346524899. It was assigned to this organization in the NPPES registry on October 3, 2011.

Where is Bridgeway Inc located?

Bridgeway Inc is located at 2079 Edgewater Dr, Pekin, IL 61554. The listed phone number is (309) 382-2006.

What is Bridgeway Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Bridgeway Inc was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.