Organization
BRIDGEWAY INC.
Active
Parent organization
BRIDGEWAY INC.
Other names
Love's Park
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRIDGEWAY INC.
Authorized official
WILLIAM NELSON (CEO)
(309) 344-2323
Entity
Organization
Contact information
Practice address
7200 CLINTON RD, LOVES PARK, IL 61111-3806
(815) 962-8333
Mailing address
7200 CLINTON RD, LOVES PARK, IL 61111-3806
(815) 962-8333
(815) 964-3553
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
655360
UPIN
IL
Enumeration date
04/16/2018
Last updated
04/16/2018
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