Gateway Community Services, Inc. in Jacksonville - Substance Abuse Rehabilitation Facility
Gateway Community Services, Inc. - NPI 1356305338
Gateway Community Services, Inc. is a Substance Abuse Rehabilitation Facility in Jacksonville, Florida. Gateway Community Services, Inc. practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Gateway Community Services, Inc. is 1356305338. The last update date is 2023-10-24.
Gateway Community Services, Inc.'s current location address is 555 Stockton St, Jacksonville, Florida. You can contact this provider via phone number 9043874661 and fax number 9043845753. The mailing address for Gateway Community Services, Inc. is 555 Stockton St, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Gateway Community Services, Inc. |
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Address | 555 Stockton St, Jacksonville, Florida |
Phone Number | 9043874661 |
Fax Number | 9043845753 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | UR/INSURAN |
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Authorized Official Name | Holloway Shawanda |
Credentials | LMHC, MCAP |
Telephone Number | 9043874661 |
NPI Number Detail
NPI Number | 1356305338 |
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Provider Enumeration Date | 2006-04-14 |
Last Updated Date | 2023-10-24 |
Provider Mailing Address Detail
Address | 555 Stockton St |
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City | Jacksonville |
State | Florida (FL) |
Post Code | 322042534 |
Phone Number | 9043874661 |
Fax Number | 9043845753 |
Provider's Primary Taxonomy Detail
Speciality | Substance Abuse Rehabilitation Facility |
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Taxonomy | 324500000X |
Licence No | 0416AD182816 |
Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
60594800 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Gateway Community Services, Inc. by the Centers for Medicare & Medicaid Services?
The Gateway Community Services, Inc. has been assigned the NPI (National Provider Identifier) 1356305338. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Gateway Community Services, Inc.'s facilities are geographically located?
The facilities of Gateway Community Services, Inc. are physically situated at the following location: 555 Stockton St, Jacksonville, FL, 322042534.
What is the Gateway Community Services, Inc.'s specialty and taxonomy code?
The Gateway Community Services, Inc.'s specialty is Substance Abuse Rehabilitation Facility, and the corresponding taxonomy code is 324500000X.
On what date did Gateway Community Services, Inc. receive its 1356305338 assignment from the Centers for Medicare & Medicaid Services?
The Gateway Community Services, Inc. was assigned its 1356305338 on 2006-04-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Gateway Community Services, Inc. most recently updated or refreshed?
The details pertaining to the Gateway Community Services, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2023-10-24.
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