Organization
BRIDGEWAY HEALTH SERVICES
Active
Organization
BRIDGEWAY HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE CHENEY (OFFICE MANAGER)
(208) 475-0800
Entity
Organization
Contact information
Practice address
1032 S BRIDGE WAY PL STE 110, EAGLE, ID 83616-6099
(208) 475-0800
(208) 639-0901
Mailing address
1032 S BRIDGE WAY PL STE 110, EAGLE, ID 83616-6099
(208) 475-0800
(208) 639-0901
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2012
Last updated
11/02/2012
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