Organization Name: | BRIDGEWAY |
NPI Number: | 1770921512 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL JOE HAYES (CASE MANAGER) |
Mailing Address: | 620 W Grand Ave Ponca City |
State: | OK US |
Postal Code: | 746015123 |
Phone Number: | 5807621462 |
Fax Number: | |
NPI Enumeration Date: | 06/13/2013 |
NPI Last Update Date: | 06/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171M00000X |
License Number: | B.S. PSYCHOLOGY |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Case Manager/Care Coordinator |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee |