| Bridgeway Health Services, Llc | |
|
1032 S Bridge Way Pl Eagle ID 83616-6099 | |
| (208) 246-0123 | |
| (208) 246-0125 |
| Full Name | Bridgeway Health Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1032 S Bridge Way Pl, Eagle, Idaho |
| Authorized Official Name and Position | Grant Belnap (OWNER) |
| Authorized Official Contact | 2082460123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgeway Health Services, Llc 1032 S Bridge Way Pl Eagle ID 83616-6099 Ph: (208) 246-0123 | Bridgeway Health Services, Llc 1032 S Bridge Way Pl Eagle ID 83616-6099 Ph: (208) 246-0123 |
| NPI Number | 1073811097 |
|---|---|
| Provider Enumeration Date | 03/01/2011 |
| Last Update Date | 03/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073811097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | M7357 (Idaho) | Primary |
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