GATEWAY COMMUNITY HEALTH (NPI# 1881891356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881891356 |
| Entity Type | Organization |
| Organization Name | GATEWAY COMMUNITY HEALTH |
| Practice Address |
3011 W Grand Blvd Fl 20 Suite 2000 Detroit MI 48202-3022 |
| Practice Telephone | 3132625100 |
| Practice Fax Number | 3138754715 |
| Mailing Telephone | 3132625100 |
| Mailing Fax Number | 3138754715 |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2011-07-06 |
| Authorized Official Name | MR. MITCHELL HALL (CEO) |
| Authorized Official Telephone | 3132632360 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3119549 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GATEWAY COMMUNITY HEALTH CENTERS, INC. | 501 Main St, Gatesville, NC 27938-9424 |
| Street Address |
3011 W GRAND BLVD FL 20 SUITE 2000 |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-3022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295277663 | Oceansblue 24 Hr Home Care 4 | Point of Service | 15336 Washburn St, Detroit, MI 48238-1662 | 2016-11-16 |
| 1962801373 | Pharmor Pharmacy Evergreen | Point of Service | 20250 West 7 Mile Road, Detroit, MI 48219 | 2014-08-21 |
| 1861730467 | Currie Adult Day Care | Point of Service | 16551 E Warren Ave, Detroit, MI 48224-2742 | 2013-01-17 |
| 1407001332 | Wards Holy Management Outreach Church | Point of Service | 12410 Wyoming St Fl 2, Detroit, MI 48204 | 2008-11-19 |
| 1407000565 | International Deliverance Center Cdc | Point of Service | 7200 Harper Ave, Detroit, MI 48213-2404 | 2008-11-14 |
| 1629574850 | Nikki Elizabeth Browder | Point of Service | 19211 Anglin St, Detroit, MI 48234-1460 | 2018-04-05 |
| 1174992796 | Warren Medical and Therapy Center, LLC | Point of Service | 15841 W Warren Ave, #37, Detroit, MI 48228-3737 | 2015-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669016317 | Rocket Billing Services LLC | Point of Service | 1355 Hollywood St, Dearborn, MI 48124-4041 | 2019-11-05 |
| 1376059238 | Special Driving Services, Inc. | Point of Service | 3945 Okemos Rd Ste A5, Okemos, MI 48864-4207 | 2017-12-14 |
| 1093228124 | Khidmah LLC | Point of Service | 9315 Joseph Campau St, Hamtramck, MI 48212-3433 | 2017-11-11 |
| 1508307273 | Central Michigan University | Point of Service | 203 E Broomfield, Rose 145, Mt Pleasant, MI 48859-0001 | 2017-03-15 |
| 1083159545 | Marley Gannon Pagel Lmsw, Acsw, LLC | Point of Service | 474 Iris Ln, Saline, MI 48176-9092 | 2016-12-19 |
| 1720434384 | Kelly Mcclain | Point of Service | 2125 Denwood Ave Sw, Wyoming, MI 49509-1962 | 2016-05-12 |
| 1902266356 | Central Michigan Care | Point of Service | 798 S Whiteville Rd, Mt Pleasant, MI 48858-8776 | 2016-02-28 |
| 1073982070 | Bellis | Point of Service | 33037 Grand River Ave, Farmington, MI 48336-3119 | 2015-09-20 |
| 1740666098 | Nariman Shamoon | Point of Service | 14585 Sparrow Dr, Shelby Township, MI 48315-5042 | 2015-08-09 |
| 1417339532 | Ana Rodriguez | Point of Service | 612 Peacock Ave, Pontiac, MI 48340 | 2015-06-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.