| Gateway Healthcare, Inc | |
|
1443 Hartford Ave Johnston RI 02919-3224 | |
| (401) 553-1033 | |
| (401) 861-8696 |
| Full Name | Gateway Healthcare, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1443 Hartford Ave, Johnston, Rhode Island |
| Authorized Official Name and Position | Peter Markell (EVP & CFO) |
| Authorized Official Contact | 4014447914 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Healthcare, Inc 117 Ellenfield St Ste 101 Providence RI 02905-4541 Ph: (401) 444-6779 | Gateway Healthcare, Inc 1443 Hartford Ave Johnston RI 02919-3224 Ph: (401) 553-1033 |
| NPI Number | 1184658577 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 02/19/2024 |
| Certification Date | 02/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184658577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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