Organization
GATEWAY COMMUNITY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MITCHELL HALL (CEO)
(313) 263-2360
Entity
Organization
Contact information
Practice address
3011 W GRAND BLVD FL 20, SUITE 2000, DETROIT, MI 48202-3022
(313) 262-5100
(313) 875-4715
Mailing address
3011 W GRAND BLVD FL 20, SUITE 2000, DETROIT, MI 48202-3022
(313) 262-5100
(313) 875-4715
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3119549
—
MI
Enumeration date
06/28/2007
Last updated
07/06/2011
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