Gateway Community Health

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

GATEWAY COMMUNITY HEALTH

Practice address

3011 W Grand Blvd FL 20
Suite 2000
Detroit, MI 48202-3022

Phone

(313) 262-5100

Fax

(313) 875-4715

NPI assigned

Jun 28, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Mitchell Hall

Title

Ceo

Phone

(313) 263-2360

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1881891356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 W GRAND BLVD FL 20",
            "address_2": "SUITE 2000",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023022",
            "telephone_number": "313-262-5100",
            "fax_number": "313-875-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 W GRAND BLVD FL 20",
            "address_2": "SUITE 2000",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023022",
            "telephone_number": "313-262-5100",
            "fax_number": "313-875-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY COMMUNITY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-263-2360",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3119549",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dadrien Kaylynn Gates, LLMSW
• Elaina Mae Gates, LMSW
• Jessica Gates
• Mishioka L Gates
• Stephanie R Gates
• Gateway Detroit
• Gateway Detroit East Community
• Gateway Detroit East Community Mental Health
• Gateway Detroiteast
• Gateway Detroiteast

• Point of Service in Detroit, MI
• Providers in Detroit, MI by specialty
• Point of Service in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.