Organization · NPI-2

Gateway Community Health

Point of Service · Detroit, MI

NPI number1881891356
StatusActive
Last updated in NPPESJul 6, 2011

Details

NPI
1881891356
Entity type
Organization (NPI-2)
Legal business name
Gateway Community Health
Organization subpart
No
Enumeration date
Jun 28, 2007
Last updated
Jul 6, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
305S00000X Point of Service––Yes

Practice location

3011 W Grand Blvd Fl 20
Suite 2000
Detroit, MI 48202-3022

Phone 313-262-5100 · Fax 313-875-4715

Mailing address

3011 W Grand Blvd Fl 20
Suite 2000
Detroit, MI 48202-3022

Phone 313-262-5100 · Fax 313-875-4715

Authorized official

Mitchell Hall
Ceo
3132632360

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Point of Service providers in Detroit, MI