BRIDGEWAY CENTER INC NPI 1578677076

NPI Information

  • NPI: 1578677076
  • Provider Name: BRIDGEWAY CENTER INC
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 137 HOSPITAL DRIVE
    FORT WALTON BEACH, FL
    ZIP 32548
  • Phone: (850) 833-7512

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NPI Details

BRIDGEWAY CENTER INC is a community behavioral health in Fort Walton Beach, FL. The provider is 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. BRIDGEWAY CENTER INC NPI is 1578677076. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

137 HOSPITAL DRIVE
FORT WALTON BEACH, FL
ZIP 32548
Phone: (850) 833-7512
Fax: (850) 833-7434

The provider's authorized official is Clayton Randall Mcallister .
The authorized official title is Chief Financial Officer and has the following contact phone number (850) 634-0050.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 8/13/2024.

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
1101Y00000XCounselorNo
2101YM0800XCounselorMental Health26039072238FLORIDANo
3208D00000XGeneral PracticeNo
4251S00000XCommunity/Behavioral HealthYes

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
1060398823MEDICAIDFLORIDA

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: 3/30/2025

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