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NPI Code Detail

MEDICARE: GATEWAY REHABILITATION CENTER

MEDICARE: GATEWAY REHABILITATION CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1324500000XSubstance Abuse Rehabilitation Facility041091PA
2261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center041091PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053317644
Entity Type Code : Organization
Provider Name (Legal Business Name) : GATEWAY REHABILITATION CENTER
Provider Business Mailing Address
First Line : 311 ROUSER RD
Second Line :
City : MOON TOWNSHIP
State : PA
Zip : 15108-2719
Country : US
Telephone Number : 412-604-8900
Fax Number : 412-299-8751
Provider Business Practice Location Address
First Line : 100 MOFFETT RUN RD
Second Line :
City : ALIQUIPPA
State : PA
Zip : 15001-9152
Country : US
Telephone Number : 412-766-8700
Fax Number : 724-375-7956
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MR. JAMES TROUP
Credential :
Telephone Number : 412-604-8900
Provider Enumeration Date : 06/28/2005
Last Update Date : 05/30/2025

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Practice Location Address:
100 MOFFETT RUN RD
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1891057295 — TRICIA HARMON POWELL CRNP
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100 MOFFETT RUN RD
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1316366982 — MS. GINA ALICIA GOSZINSKI D.O.
Practice Location Address:
100 MOFFETT RUN RD
ALIQUIPPA, PA
15001-9152
Practice Phone: 412-604-8900
Practice Fax:
1891201620 — MS. GINA KOREN LPN
Practice Location Address:
100 MOFFETT RUN RD
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Practice Phone: 724-378-4461
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1609382431 — MS. TRACY MCDOWELL LPN
Practice Location Address:
100 MOFFETT RUN RD
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Practice Phone: 724-378-4461
Practice Fax: 724-375-7763
1497261317 — MS. JOAN COVERT-ADKINS RN
Practice Location Address:
100 MOFFETT RUN RD
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Practice Fax: 724-375-7763

Directions to “GATEWAY REHABILITATION CENTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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