Gateway Foundation Inc.

Substance Abuse Rehabilitation Facility · Springfield, IL

Organization Active NPI

NPI number 1699130856

Practice location

2200 Lake Victoria Dr
Springfield, IL 62703-5596
Phone
(877) 505-4673
Fax
(217) 529-9151

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NPI record

NPI
1699130856
Entity type
Organization (Type 2)
Enumeration date
December 15, 2015
Last updated
December 15, 2015
Organization subpart
Yes
Parent organization
Gateway Foundation Inc.

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Substance Abuse Rehabilitation Facility Primary 324500000X A-0538-0019-A IL

Mailing address

55 E Jackson Blvd
Suite 1500
Chicago, IL 60604-4466
Phone
(312) 663-1130
Fax
(312) 663-0504

Authorized official

Name
Mr. Thomas P Britton, DRPH,LPC,LCAS,CCS,AC
Title
President/CEO
Phone
(312) 663-1130

About Gateway Foundation Inc.

Gateway Foundation Inc. is a healthcare organization registered in the NPI registry with the primary taxonomy Substance Abuse Rehabilitation Facility (code 324500000X). The practice location is 2200 Lake Victoria Dr, Springfield, IL 62703-5596. The NPI number 1699130856 was assigned on December 15, 2015 and the record was last updated on December 15, 2015.

Gateway Foundation Inc. lists a license in the registry: #A-0538-0019-A (IL) for Substance Abuse Rehabilitation Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mr. Thomas P Britton, DRPH,LPC,LCAS,CCS,AC, President/CEO.

Frequently asked questions

What is the NPI number of Gateway Foundation Inc.?

The NPI number is 1699130856.

What is the phone number of Gateway Foundation Inc.?

The phone number listed for the practice location is (877) 505-4673.

Where is Gateway Foundation Inc. located?

2200 Lake Victoria Dr, Springfield, IL 62703-5596.

What is the taxonomy code for Gateway Foundation Inc.?

The primary taxonomy code is 324500000X – Substance Abuse Rehabilitation Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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