CMS-1500 Box 24J / 33a • NPI
1851315535
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
261QM0801X (CMS B4[14])
Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
Box 32 Service Location & ZIP+4
2323 WINDISH DR, GALESBURG, IL, 61401-9780
✓ 9-Digit EDI 837 ZIP+4 (61401-9780)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1851315535 (BRIDGEWAY INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1851315535 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | BRIDGEWAY INC |
| Plain-English Specialty | Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: 261QM0801X (Clinic/Center, Mental Health (Including Community Mental Health Center)) |
| Certifying / Licensing Body | Accreditation Association for Ambulatory Health Care (AAAHC) / CMS |
| Practice Location Address | 2323 WINDISH DR, GALESBURG, IL, 61401-9780 |
| Practice Telephone / Fax | Tel: (309) 344-4200 | Fax: (309) 344-4281 |
| Administrative Mailing Address | 2323 WINDISH DR, GALESBURG, IL, 61401-9780 |
| Enumeration & Last Sync | Enumerated: 2006-07-27 | CMS Record Updated: 2025-12-26 |
| Authorized Official | STACI DANNER (CEO) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (261QM0801X)
What Does Taxonomy Code 261QM0801X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QM0801X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BRIDGEWAY INC)
Typical CPT / Diagnostic Procedures:- Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
- Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures
- Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
101Y00000X — CounselorPlain English: Licensed & Credentialed Counselor | State: IL | License: Verified | Primary: Secondary |
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: IL | License: Verified | Primary: Secondary |
251S00000X — Community/Behavioral HealthPlain English: Licensed & Credentialed Community/Behavioral Health | State: IL | License: Verified | Primary: Secondary |
2084P0800X — Psychiatry & Neurology, PsychiatryPlain English: Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician) | State: IL | License: Verified | Primary: Secondary |
2084P0804X — Psychiatry & Neurology, Child & Adolescent PsychiatryPlain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) | State: IL | License: Verified | Primary: Secondary |
261QM0801X — Clinic/Center, Mental Health (Including Community Mental Health Center)Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: IL | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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