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GATEWAY REHABILITATION CENTER-ERIE NPI 1841291044


NPI Information

NPI: 1841291044
Provider Name: GATEWAY REHABILITATION CENTER-ERIE
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1928 WAGER RD
ERIE, PA
ZIP 16509
Phone: (814) 825-0373
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GATEWAY REHABILITATION CENTER-ERIE is a substance abuse rehabilitation facility in Erie, PA. 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 REHABILITATION CENTER-ERIE NPI is 1841291044. The provider is registered as an organization entity type.

The provider's business location address is:

1928 WAGER RD
ERIE, PA
ZIP 16509-054
Phone: (814) 825-0373
Fax: (814) 825-0483

The provider's authorized official is Paul Bacharach .
The authorized official title is President/ceo and has the following contact phone number (412) 604-8900.

The enumeration date for this NPI number is 8/10/2005 and was last updated on 9/1/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility257067PENNSYLVANIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11007607430077MEDICAIDPENNSYLVANIA
21007607430078MEDICAIDPENNSYLVANIA

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

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