Organization
BRIDGEWAY HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRANT BELNAP M.D. (OWNER)
(208) 246-0123
Entity
Organization
Contact information
Practice address
1032 S BRIDGE WAY PL, EAGLE, ID 83616-6099
(208) 246-0123
(208) 246-0125
Mailing address
1032 S BRIDGE WAY PL, EAGLE, ID 83616-6099
(208) 246-0123
(208) 246-0125
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
M7357
ID
Other
Enumeration date
03/01/2011
Last updated
03/07/2012
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