BETHEL UNIVERSITY NPI 1265857460

NPI Information

BETHEL UNIVERSITY is a student health clinic center in Saint Paul, MN. BETHEL UNIVERSITY NPI is 1265857460. The provider is registered as an organization entity type.
The provider Other Name Is Bethel University Health Services.

The provider's business location address is:

3900 BETHEL DR
MSC2376
SAINT PAUL, MN
ZIP 55112-902
Phone: (651) 638-6215
Fax: (651) 635-8676

The provider's authorized official is Randy Bergen .
The authorized official title is Exec. Assistant To The President and has the following contact phone number (651) 638-6287.

The CLIA number assigned to this NPI record is 24D0673164 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/25/2014 and was last updated on 5/22/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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