Organization
GATEWAY HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE FACTEAU (CREDENTIALING COORDINATOR)
(401) 724-8400
Entity
Organization
Contact information
Practice address
1516 ATWOOD AVE, JOHNSTON, RI 02919-3223
(401) 553-1000
(401) 553-1143
Mailing address
1516 ATWOOD AVE, JOHNSTON, RI 02919-3223
(401) 553-1000
(401) 553-1143
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
RI633
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GH56945
BLUE CROSS CRISIS
RI
Enumeration date
04/22/2008
Last updated
04/22/2008
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