Organization
THE BRIDGEWAY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (CFO/SR VP)
(610) 768-3300
Entity
Organization
Contact information
Practice address
21 BRIDGEWAY RD, NORTH LITTLE ROCK, AR 72113-9514
(501) 771-1500
Mailing address
21 BRIDGEWAY RD, NORTH LITTLE ROCK, AR 72113-9514
(501) 771-1500
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
2559
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105312125
—
AR
01
—
57226
BLUE CROSS/BLUESHIELD OF AR
AR
Enumeration date
02/01/2006
Last updated
06/01/2015
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