MEDICARE: GATEWAY COMMUNITY HEALTH CENTERS, INC.

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
1	333600000X	Pharmacy
2	3336C0002X	Clinic Pharmacy

General Provider Information

NPI Number	:	1548062177
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GATEWAY COMMUNITY HEALTH CENTERS, INC.

Provider Business Mailing Address
First Line	:	PO BOX 297
Second Line	:
City	:	GATESVILLE
State	:	NC
Zip	:	27938-0297
Country	:	US
Telephone Number	:	252-357-1226
Fax Number	:	252-357-1236

Provider Business Practice Location Address
First Line	:	1134 N ROAD ST
Second Line	:
City	:	ELIZABETH CITY
State	:	NC
Zip	:	27909-3322
Country	:	US
Telephone Number	:	252-333-1047
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ROSE M TURNER
Credential	:
Telephone Number	:	252-357-1226

Provider Enumeration Date	:	03/25/2025
Last Update Date	:	03/25/2025

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