BETHANY MEDICAL RURAL HEALTH CLINIC NPI 1851496863

NPI Information

NPI: 1851496863
Provider Name: BETHANY MEDICAL RURAL HEALTH CLINIC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
3202 MILLER ST
BETHANY, MO
ZIP 64424
Phone: (660) 425-3154
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BETHANY MEDICAL RURAL HEALTH CLINIC is a rural health clinic center in Bethany, MO. BETHANY MEDICAL RURAL HEALTH CLINIC NPI is 1851496863. The provider is registered as an organization entity type.

The provider's business location address is:

3202 MILLER ST
BETHANY, MO
ZIP 64424-713
Phone: (660) 425-3154
Fax: (660) 425-6663

The provider's authorized official is Natu B Patel .
The authorized official title is Physician/owner and has the following contact phone number (660) 425-3154.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 7/3/2008.

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	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health	R8C23	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	598581601	MEDICAID	MISSOURI
2	263866	MEDICARE ID-TYPE UNSPECIFIED	MISSOURI	MEDICARE GROUP NUMBER
3	H770000	MEDICARE PIN	MISSOURI

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: 5/5/2024

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