Organization
BRIDGEWAY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM NELSON (CEO)
(309) 344-2323
Entity
Organization
Contact information
Practice address
137 E COLLEGE ST, KEWANEE, IL 61443-3703
(309) 852-4331
Mailing address
137 E COLLEGE ST, KEWANEE, IL 61443-3703
(309) 852-4331
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
020
IL
101YM0800X
Mental Health Counselor
3709841785020
IL
1041C0700X
Clinical Social Worker
020
IL
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
IA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
IL
Other
Enumeration date
04/11/2007
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us