NPIMap

Organization Active NPI

Bridgeway, Inc

Doing business as Henderson County Outpatient

  • Community/Behavioral Health Agency
  • Macomb, IL
National Provider Identifier
1982827499
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
027 Issued in IL
Legal business name
BRIDGEWAY, INC
Doing business as
Henderson County Outpatient
Practice address
900 S Deer Rd
Macomb, IL 61455-2639
Phone
(309) 837-4876
NPI assigned
Apr 11, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jim Starnes
Title
Ceo
Phone
(309) 837-4876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 027 IL Primary

Addresses

Primary practice location

900 S Deer Rd
Macomb, IL 61455-2639

Mailing address

900 S Deer Rd
Macomb, IL 61455-2639
Phone (309) 837-4876

Other names 1

  • HENDERSON COUNTY OUTPATIENT Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Julio R Lozano MD15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1982827499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S DEER RD",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614552639",
            "telephone_number": "309-837-4876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S DEER RD",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614552639",
            "telephone_number": "309-837-4876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWAY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STARNES",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "309-837-4876"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HENDERSON COUNTY OUTPATIENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Macomb, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.