Organization
GATEWAY ASSOCIATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE A BALDWIN (FINANCIAL DIRECTOR)
(765) 649-1900
Entity
Organization
Contact information
Practice address
1215 JACKSON ST, ANDERSON, IN 46016-1652
(765) 649-1900
Mailing address
PO BOX 1182, ANDERSON, IN 46015-1182
(765) 649-1900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000196286
ANTHEM
IN
05
—
100172260
—
IN
05
—
200088670
—
IN
05
—
200714370
—
IN
Enumeration date
10/17/2006
Last updated
04/22/2008
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