Gateway Hills Health Club

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

GATEWAY HILLS HEALTH CLUB

Practice address

100 Innovative Way
Nashua, NH 03062-5748

Phone

(603) 821-9168

NPI assigned

Oct 23, 2019

Last updated

Oct 23, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Matt Michael Dispensa Sr.

Title

Ceo

Phone

(603) 821-9168

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1649813528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 INNOVATIVE WAY",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030625748",
            "telephone_number": "603-821-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 INNOVATIVE WAY",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030625748",
            "telephone_number": "603-821-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY HILLS HEALTH CLUB",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "DISPENSA",
        "authorized_official_first_name": "MATT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "603-821-9168",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gate City Dental Associates PLLC
• Gate City Dental PLLC
• Gate City Mental Health
• Gate City Sports Medicine
• Gate City Surgeons, PLLC
• Gateways Community Services
• Gateways Community Services
• Gateways Community Services
• Tiffany A Gaudet, APRN
• Emily Gaudion, M.S., LCMHC

• Health Service Clinic/Center in Nashua, NH
• Providers in Nashua, NH by specialty
• Health Service Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.