Provider Demographics
NPI:1831561547
Name:GATEWAY CARE COORDINATION
Entity type:Organization
Organization Name:GATEWAY CARE COORDINATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:BSW
Authorized Official - Phone:907-242-1128
Mailing Address - Street 1:2150 E DOWLING RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-1980
Mailing Address - Country:US
Mailing Address - Phone:907-903-3847
Mailing Address - Fax:
Practice Address - Street 1:2150 E DOWLING RD
Practice Address - Street 2:SUITE E
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507-1980
Practice Address - Country:US
Practice Address - Phone:907-903-3847
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-21
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKNOT YET ISSUED251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKNOT YET ISSUEDMedicaid