| Gateway Bhs - Effingham Adult Outpatient | |
|
275 First Street Extention Springfield GA 31329 | |
| (912) 754-3030 | |
| (912) 754-9210 |
| Full Name | Gateway Bhs - Effingham Adult Outpatient |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 275 First Street Extention, Springfield, Georgia |
| Authorized Official Name and Position | William Parks (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9125548464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Bhs - Effingham Adult Outpatient 700 Coastal Village Dr Brunswick GA 31520-1974 Ph: (912) 264-0979 | Gateway Bhs - Effingham Adult Outpatient 275 First Street Extention Springfield GA 31329 Ph: (912) 754-3030 |
| NPI Number | 1437288669 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 10/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437288669 | NPI | - | NPPES |
| 000859141F | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Gateway Bhs - Effingham Tc Comp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 First Street Extention, Springfield, GA 31329 Phone: 912-754-3040 Fax: 912-754-7108 | |
Gateway Bhs - Effingham Adult Day Treatment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 First Street, Springfield, GA 31329 Phone: 912-754-3040 Fax: 912-754-7108 | |
Gateway Bhs - Effingham Tc Now Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 First Street Extention, Springfield, GA 31329 Phone: 912-754-3040 Fax: 912-754-7108 |