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NPI 1942403696

NPI 1942403696 : GATEWAY HOUSE INC : FORT SMITH, AR

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General NPI Number Information
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    NPI Number           |    1942403696
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    Entity Type          |    Organization 
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    Legal Business Name  |    GATEWAY HOUSE INC 
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Dates
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    Enumeration Date     |    06/08/2007
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    3900 ARMOUR AVENUE 
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    City                 |    FORT SMITH
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    State                |    AR
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    Zip                  |    72904-4317
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    Country              |    US
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    Telephone            |    479-783-8849
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    Fax                  |    479-782-5682
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Provider Business Mailing Address
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    Address Line         |    3900 ARMOUR AVENUE 
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    City                 |    FORT SMITH
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    State                |    AR
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    Zip                  |    72904-4317
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    Country              |    US
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    Telephone            |    479-783-8849
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    Fax                  |    479-782-5682
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |    MS. ANITA  HUDSON MEADOWS 
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    Credential           |    LADAC
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    Telephone            |    479-783-8849
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    324500000X
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    Taxonomy Name        |    Substance Abuse Rehabilitation Facility
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    License Number       |    00001
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    License Number State |    AR
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Taxonomy #2
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    Taxonomy Code        |    261QR0405X
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    Taxonomy Name        |    Substance Use Disorder Rehabilitation Clinic/Center
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    License Number       |    00001
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    License Number State |    AR
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