OrganizationActive
Gateway Detroiteast
NPI 1184033128 · Health Maintenance Organization · Detroit, MI
Provider details
- NPI number
- 1184033128
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Elizabeth Cichon, Clinical Director(313) 331-3435
- License
- 6802072589 (MI)
Specialties & taxonomies
Managed Care Organizations
Practice location
6309 Mack Ave
Detroit, MI 48207-2302
Phone: (313) 921-4700
Fax: (313) 921-1660
Approximate (ZIP-level) locationGet directions
Mailing address
6309 Mack Ave
Detroit, MI 48207-2302
Registry dates
- Enumerated
- 2014-08-04
- Last updated
- 2014-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.