| Gateway Healthcare, Inc | |
|
422 Post Rd Warwick RI 02888-1539 | |
| (401) 781-0033 | |
| (401) 781-0444 |
| Full Name | Gateway Healthcare, Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 422 Post Rd, Warwick, Rhode Island |
| Authorized Official Name and Position | Joyce Facteau (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 4017248400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Healthcare, Inc 249 Roosevelt Ave Pawtucket RI 02860-2134 Ph: (401) 724-8400 | Gateway Healthcare, Inc 422 Post Rd Warwick RI 02888-1539 Ph: (401) 781-0033 |
| NPI Number | 1669408340 |
|---|---|
| Provider Enumeration Date | 06/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669408340 | NPI | - | NPPES |
| 62-68880 | Other | RI | UNITED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | ISW01153 (Rhode Island) | Primary |
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