| Gateway Healthcare, Inc. | |
|
101 - 105 Bacon Street Pawtucket RI 02860 | |
| (401) 722-3560 | |
| (401) 722-3593 |
| Full Name | Gateway Healthcare, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 101 - 105 Bacon Street, Pawtucket, 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. 101 - 105 Bacon Street Pawtucket RI 02860 Ph: (401) 722-3560 |
| NPI Number | 1063957249 |
|---|---|
| Provider Enumeration Date | 12/27/2016 |
| Last Update Date | 02/21/2024 |
| Certification Date | 02/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063957249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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