NPIMap

Organization Active NPI

Bridgeway Health Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Eagle, ID
National Provider Identifier
1073811097
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
M7357 Issued in ID
Legal business name
BRIDGEWAY HEALTH SERVICES, LLC
Practice address
1032 S Bridge Way PL
Eagle, ID 83616-6099
Phone
(208) 246-0123
Fax
(208) 246-0125
NPI assigned
Mar 1, 2011
Last updated
Mar 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Grant Belnap, M.D.NPI 1356481790
Title
Owner
Phone
(208) 246-0123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X M7357 ID Primary

Addresses

Primary practice location

1032 S Bridge Way PL
Eagle, ID 83616-6099

Mailing address

1032 S Bridge Way PL
Eagle, ID 83616-6099
Phone (208) 246-0123

National Provider Directory

National Provider Directory
Tax ID family
Bridgeway Health Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1032 S Bridgeway Pl
Eagle, ID 83616
Phone (208) 246-0123

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1073811097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 S BRIDGE WAY PL",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166099",
            "telephone_number": "208-246-0123",
            "fax_number": "208-246-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 S BRIDGE WAY PL",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166099",
            "telephone_number": "208-246-0123",
            "fax_number": "208-246-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWAY HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-01",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "BELNAP",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-246-0123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "ID",
            "license": "M7357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.