BRIDGES HEALTHCARE LLC NPI 1073161139

NPI Information

NPI: 1073161139
Provider Name: BRIDGES HEALTHCARE, LLC

Doing Business As: BRIDGES BEHAVIORAL HEALTH & WELLNESS

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
1024 1/2 S. PENNSYLVANIA AVE
WELLSTON, OH
ZIP 45692
Phone: (740) 384-7771
Get Directions

BRIDGES HEALTHCARE, LLC is a psychiatric/mental health nurse practitioner in Wellston, OH. BRIDGES HEALTHCARE, LLC NPI is 1073161139. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bridges Behavioral Health & Wellness.

The provider's business location address is:

1024 1/2 S. PENNSYLVANIA AVE
WELLSTON, OH
ZIP 45692
Phone: (740) 384-7771
Fax: (740) 384-7774

The provider's authorized official is Jessica Sue Collins .
The authorized official title is Nurse Practitioner and has the following contact phone number (740) 605-8839.

The enumeration date for this NPI number is 8/30/2019 and was last updated on 11/24/2021.

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	363LF0000X	Nurse Practitioner	Family			No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0251827	MEDICAID	OHIO

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: 4/28/2024

NPI Synchronization or Removal

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