Provider Demographics
NPI:1134255433
Name:GATEWAY REGIONAL HEALTH SYSTEMS INC
Entity type:Organization
Organization Name:GATEWAY REGIONAL HEALTH SYSTEMS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BETSY
Authorized Official - Middle Name:S
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-498-0026
Mailing Address - Street 1:250 FOXGLOVE DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT STERLING
Mailing Address - State:KY
Mailing Address - Zip Code:40353-9770
Mailing Address - Country:US
Mailing Address - Phone:859-499-4141
Mailing Address - Fax:
Practice Address - Street 1:250 FOXGLOVE DR
Practice Address - Street 2:SUITE 1
Practice Address - City:MOUNT STERLING
Practice Address - State:KY
Practice Address - Zip Code:40353-9770
Practice Address - Country:US
Practice Address - Phone:859-499-4141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY40658208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty