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ARC GATEWAY INC. NPI 1780610238


NPI Information

NPI: 1780610238
Provider Name: ARC GATEWAY, INC.

Doing Business As: ARC GATEWAY PEARL NELSON CHILD DEVELOPMENT CENTER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
916 E FAIRFIELD DR
PENSACOLA, FL
ZIP 32503
Phone: (850) 434-7755
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ARC GATEWAY, INC. is a clinic center in Pensacola, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ARC GATEWAY, INC. NPI is 1780610238. The provider is registered as an organization entity type.
The provider Is Doing Business As Arc Gateway Pearl Nelson Child Development Center.

The provider's business location address is:

916 E FAIRFIELD DR
PENSACOLA, FL
ZIP 32503-817
Phone: (850) 434-7755
Fax: (850) 469-0858

The provider's authorized official is Maryann Bickerstaff .
The authorized official title is Children's Services Director and has the following contact phone number (850) 434-7755.

The enumeration date for this NPI number is 6/25/2006 and was last updated on 2/16/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1252Y00000XEarly Intervention Provider AgencyNo
2235Z00000XSpeech-Language PathologistNo
3261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1811296700MEDICAIDFLORIDA
2880208400MEDICAIDFLORIDA
3Y906NOTHERFLORIDABLUE CROSS BLUE SHEILD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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