Provider Demographics
NPI:1659477396
Name:GATEWAY SERVICES INC
Entity Type:Organization
Organization Name:GATEWAY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:M
Authorized Official - Last Name:DEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-875-4548
Mailing Address - Street 1:PO BOX 535
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:IL
Mailing Address - Zip Code:61356-0535
Mailing Address - Country:US
Mailing Address - Phone:815-875-4548
Mailing Address - Fax:815-875-8602
Practice Address - Street 1:526 S BUREAU VALLEY PKWY
Practice Address - Street 2:SUITE B
Practice Address - City:PRINCETON
Practice Address - State:IL
Practice Address - Zip Code:61356-2046
Practice Address - Country:US
Practice Address - Phone:815-875-4548
Practice Address - Fax:815-875-8602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)