BRIDGEWAY INC
NPI 1861776213
Community/Behavioral Health in Macomb, IL
NPI Status: Active since October 04, 2011
Contact Information
590 S DEER RD
MACOMB, IL
ZIP 61455
Phone: (309) 837-4876
Fax: (309) 833-1531
- Organization
- Community/Behavioral Health
- Accepts Insurance
- CLIA Number: 14D2090508
- CLIA Cert. Type: Other - OTPT SUBSTANCE ABUSE TRMT
- CLIA Exp. Date: 01-25-2027
About BRIDGEWAY INC
This page provides the complete NPI Profile along with additional information for Bridgeway Inc, a provider established in Macomb, Illinois operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1861776213 assigned on October 2011. The practitioner's primary taxonomy code is 251S00000X with license number 04016 (IL). The provider is registered as an organization and their NPI record was last updated 14 years ago. Bridgeway Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Staci Danner (Billing Manager)
- NPI
- 1861776213
- Provider Name
- BRIDGEWAY INC
- Entity Type
- Organization
- Location Address
- 590 S DEER RD MACOMB, IL 61455
- Location Phone
- (309) 837-4876
- Location Fax
- (309) 833-1531
- Mailing Address
- 590 S DEER RD MACOMB, IL 61455
- Mailing Phone
- (309) 836-9910
- Mailing Fax
- (309) 833-1531
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-04-2011
- Last Update Date
- 11-30-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- License No.
- 04016
- License State
- IL
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | 04016 (IL) |
| 2 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | 04016 (IL) |
| 3 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | 04016 (IL) |
| 4 | 104100000X | Behavioral Health & Social Service Providers | Social Worker | 04016 (IL) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 04016 | OTHER (01) | IL | MENTAL HEALTH MEDICAID CERTIFICATE |
| 655362 | MEDICARE UPIN (02) | IL | |
| 655361 | MEDICARE UPIN (02) | IL | |
| 655360 | MEDICARE UPIN (02) | IL |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D2090508
- Facility Type
- Other - OTPT SUBSTANCE ABUSE TRMT
- Certificate Effective Date
- January 26, 2025
- Certificate Expiration Date
- January 25, 2027
- Laboratory Director
- STACY BROWN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bridgeway Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for BRIDGEWAY INC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 6 | 1 | 7 | 7 | 6 | 2 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 12 | 1 | 14 | 7 | 12 | 2 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 2 + 1 + 1 + 4 + 7 + 1 + 2 + 2 + 2 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1861776213 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861776213, enumerated in the NPI registry as an "organization" on October 04, 2011
The provider is located at 590 S Deer Rd Macomb, Il 61455 and the phone number is (309) 837-4876
This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 14D2090508 for a "other - otpt substance abuse trmt" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on October 04, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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