Organization
BRIDGEWAY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE PHILLIPS (BILLING/COLLECTIONS SPECIALIST)
(309) 342-4242
Entity
Organization
Contact information
Practice address
2323 WINDISH DR, GALESBURG, IL 61401-9780
(309) 344-2323
(309) 344-4368
Mailing address
2323 WINDISH DR, GALESBURG, IL 61401-9780
(309) 344-2323
(309) 344-4368
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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