Bridgeway Health Services, Llc | |
1032 S. Bridgeway Pl, Ste 110 Eagle ID 83616 | |
(208) 475-0800 | |
(208) 639-0901 |
Full Name | Bridgeway Health Services, Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1032 S. Bridgeway 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. Bridgeway Pl, Ste 110 Eagle ID 83616 Ph: (208) 475-0800 | Bridgeway Health Services, Llc 1032 S. Bridgeway Pl, Ste 110 Eagle ID 83616 Ph: (208) 475-0800 |
NPI Number | 1265703953 |
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Provider Enumeration Date | 01/26/2012 |
Last Update Date | 01/26/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265703953 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | M7357 (Idaho) | Primary |
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