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BETHLEHEM HOUSE RESIDENCE NPI 1659755544


NPI Information

NPI: 1659755544
Provider Name: BETHLEHEM HOUSE RESIDENCE
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
130 E 30TH ST
INDIANAPOLIS, IN
ZIP 46205
Phone: (317) 920-1519
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BETHLEHEM HOUSE RESIDENCE is a rehabilitation and substance use disorder clinic center in Indianapolis, IN. BETHLEHEM HOUSE RESIDENCE NPI is 1659755544. The provider is registered as an organization entity type.

The provider's business location address is:

130 E 30TH ST
INDIANAPOLIS, IN
ZIP 46205-904
Phone: (317) 920-1519
Fax: (317) 920-1515

The provider's authorized official is Nathan L Rush .
The authorized official title is Executive Director and has the following contact phone number (317) 920-1519.

The enumeration date for this NPI number is 7/10/2015 and was last updated on 7/10/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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

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