BRIDGEWAY, INC
NPI 1578788188
Clinic/Center - Mental Health (Including Community Mental Health Center) in Kewanee, IL
Active since April 17, 2007
About Bridgeway, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIDGEWAY, INC (NPI 1578788188) is a healthcare organization registered as a mental health (including community mental health center) in Kewanee, Illinois and active in the NPI registry since April 2007. The organization lists William Nelson, Ceo, as its authorized official.
NPPES Registry Identity
NPI1578788188
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBRIDGEWAY, INC
Location Address1220 W DIVISION STKewanee, IL 61443-3390
Mailing Address2323 Windish DrGalesburg, IL 61401-9780 · (309) 344-4200 · Fax (309) 344-4281
Phone(309) 853-4325
Fax(309) 853-4385
Organization SubpartNo
Authorized OfficialWilliam NelsonCeo · (309) 344-2323
Enumeration DateApril 17, 2007
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1578788188 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 5
★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
1220 W DIVISION ST, Kewanee, IL 61443
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578788188, enumerated as an "organization" on April 17, 2007.
The provider is located at 1220 W DIVISION ST KEWANEE, IL 61443 and the phone number is (309) 853-4325.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).