BRIDGEWAY BEHAVIORAL HEALTH – NPI #1831617802
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

BRIDGEWAY BEHAVIORAL HEALTH is a substance abuse rehabilitation facility located in SAINT CHARLES, MO. NPPES has assigned the NPI number 1831617802 to BRIDGEWAY BEHAVIORAL HEALTH on August 30, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BRIDGEWAY BEHAVIORAL HEALTH” is a dba name, the actual legal business name for this organization is PREFERRED FAMILY HEALTHCARE INC. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 4 years ago on Jul 29, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRIDGEWAY BEHAVIORAL HEALTH below.

NPI Profile for
PREFERRED FAMILY HEALTHCARE INC

NPI Number
1831617802
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PREFERRED FAMILY HEALTHCARE INC
Doing Business As (dba): BRIDGEWAY BEHAVIORAL HEALTH
Primary location
118 N 2ND ST
SAINT CHARLES, MO 63301-2832
Phone: (636) 224-1000 Fax: (636) 224-1210
Mailing address
1601 OLD SOUTH RIVER RD
SAINT CHARLES, MO 63303-4120
Phone: (636) 224-1210 Fax: (636) 246-1008
Organization Subpart
Yes - BRIDGEWAY BEHAVIORAL HEALTH is subpart of another organization.
Authorized Official
MARK CONOVER
CHIEF REVENUE OFFICER
Phone: (573) 603-1460
Updated
Certification Date
Jul 29, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.