| Bridgeway Clinics Llc | |
|
4429 S River Blvd Independence MO 64055-4659 | |
| (816) 786-4253 | |
| Not Available |
| Full Name | Bridgeway Clinics Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 4429 S River Blvd, Independence, Missouri |
| Authorized Official Name and Position | Sheila Hale (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 8167864253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgeway Clinics Llc 4429 S River Blvd Independence MO 64055-4659 Ph: (816) 786-4253 | Bridgeway Clinics Llc 4429 S River Blvd Independence MO 64055-4659 Ph: (816) 786-4253 |
| NPI Number | 1609510809 |
|---|---|
| Provider Enumeration Date | 04/24/2022 |
| Last Update Date | 11/30/2022 |
| Certification Date | 11/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609510809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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