GATEWAY FOUNDATION INC. NPI 1699130856

NPI Information

NPI: 1699130856
Provider Name: GATEWAY FOUNDATION INC.
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
2200 LAKE VICTORIA DR
SPRINGFIELD, IL
ZIP 62703
Phone: (877) 505-4673
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GATEWAY FOUNDATION INC. is a substance abuse rehabilitation facility in Springfield, IL. The provider is 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. GATEWAY FOUNDATION INC. NPI is 1699130856. The provider is registered as an organization entity type.

The provider's business location address is:

2200 LAKE VICTORIA DR
SPRINGFIELD, IL
ZIP 62703-596
Phone: (877) 505-4673
Fax: (217) 529-9151

The provider's authorized official is Thomas P Britton .
The authorized official title is President/ceo and has the following contact phone number (312) 663-1130.

The enumeration date for this NPI number is 12/15/2015 and was last updated on 12/15/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	324500000X	Substance Abuse Rehabilitation Facility		A-0538-0019-A	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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