# GATEWAY DISTRICT HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740630169
- **Authorized official:** TONYA PEREGO (MANAGER)
- **Authorized official phone:** (606) 929-9155

## Contact information

- **Practice address:** 5850 US 60, ASHLAND, KY 41102-6712
- **Practice address phone:** (606) 929-9155
- **Practice address fax:** (606) 929-9833
- **Mailing address:** 5850 US 60, ASHLAND, KY 41102-6712
- **Mailing address phone:** (606) 929-9155
- **Mailing address fax:** (606) 929-9833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 06/16/2016
- **Last updated:** 06/16/2016