| Gateway Community Services, Inc. | |
|
555 Stockton St Jacksonville FL 32204-2534 | |
| (904) 387-4661 | |
| (904) 361-5005 |
| Full Name | Gateway Community Services, Inc. |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 555 Stockton St, Jacksonville, Florida |
| Authorized Official Name and Position | Shawanda Holloway (UR/INSURANCE SPECIALIST) |
| Authorized Official Contact | 9043874661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Community Services, Inc. 555 Stockton St Jacksonville FL 32204-2534 Ph: (904) 387-4661 | Gateway Community Services, Inc. 555 Stockton St Jacksonville FL 32204-2534 Ph: (904) 387-4661 |
| NPI Number | 1235901141 |
|---|---|
| Provider Enumeration Date | 10/24/2023 |
| Last Update Date | 10/24/2023 |
| Certification Date | 10/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235901141 | NPI | - | NPPES |
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