Whalio Doctors

NPI 1073811097

Bridgeway Health Services, LLC

Organisation Mental Health Clinic/Center (Including Community Mental Health Center) Eagle, ID

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
Ambulatory Health Care Facilities Taxonomy 261QM0801X Licence M7357 (ID)

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.