BETHEL HILLS INTEGRATED HEALTHCARE NPI 1215698642

NPI Information

NPI: 1215698642
Provider Name: BETHEL HILLS INTEGRATED HEALTHCARE
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 03D2183339

Address:
13838 S 46TH PL STE 340
PHOENIX, AZ
ZIP 85044
Phone: (480) 597-7903
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BETHEL HILLS INTEGRATED HEALTHCARE is a multi-specialty clinic center in Phoenix, AZ. BETHEL HILLS INTEGRATED HEALTHCARE NPI is 1215698642. The provider is registered as an organization entity type.

The provider's business location address is:

13838 S 46TH PL STE 340
PHOENIX, AZ
ZIP 85044-805
Phone: (480) 597-7903
Fax: (480) 597-7903

The provider's authorized official is Olubukola Komolafe .
The authorized official title is Medical Director and has the following contact phone number (832) 542-3181.

The CLIA number assigned to this NPI record is 03D2183339 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/7/2022 and was last updated on 1/7/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251S00000X	Community/Behavioral Health		No
2	261Q00000X	Clinic/Center		No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
4	261QM0850X	Clinic/Center	Adult Mental Health	No
5	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
6	261QP2300X	Clinic/Center	Primary Care	No
7	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
8	261QM1300X	Clinic/Center	Multi-Specialty	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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