Bridgeway Inc.

Organization Active NPI Community Health Clinic/Center · Galesburg, IL

NPI 1699508291 · NPPES record last updated Aug 21, 2024

Key facts

NPI
1699508291
Entity type
Organization (NPI type 2)
Primary specialty
Community Health Clinic/Center 261QC1500X
Legal business name
BRIDGEWAY INC.
Practice address
2323 Windish Dr
Galesburg, IL 61401-9780
Phone
(309) 344-2323
Fax
(309) 344-4368
NPI assigned
Aug 21, 2024
Organization subpart
No

Authorized official

Name
Nicole Phillips
Title
Billing/Collections Specialist
Phone
(309) 342-4242

Corporate family (same tax ID) 14

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

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Julio R Lozano MD (15 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Yes

Addresses

Primary practice location

2323 Windish Dr
Galesburg, IL 61401-9780

Mailing address

2323 Windish Dr
Galesburg, IL 61401-9780
Phone (309) 344-2323

Other providers in Galesburg, IL

All providers in Galesburg, IL · Community Health Clinic/Center in Illinois

Sources for this page

Verify at the official NPI Registry.