NPI 1073811097
Bridgeway Health Services, LLC
Practice location
- Address
- 1032 S Bridge Way Pl, Eagle, ID 83616-6099
- Phone
- (208) 246-0123
- Fax
- (208) 246-0125
Authorised official
- Name
- Grant Belnap
- Title
- Owner
- Phone
- (208) 246-0123
Registered specialties
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
Registry record
- NPI
- 1073811097
- Entity type
- Organization
- NPI issued
- 1 Mar 2011
- Record last updated
- 7 Mar 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.