BETHEL HILLS INTEGRATED HEALTHCARE PLLC NPI 1902491699

NPI Information

NPI: 1902491699
Provider Name: BETHEL HILLS INTEGRATED HEALTHCARE PLLC

Doing Business As: BETHEL HILLS CLINIC

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
13838 S 46TH PL STE 340
PHOENIX, AZ
ZIP 85044
Phone: (832) 542-3181
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BETHEL HILLS INTEGRATED HEALTHCARE PLLC is a psychiatric/mental health nurse practitioner in Phoenix, AZ. BETHEL HILLS INTEGRATED HEALTHCARE PLLC NPI is 1902491699. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bethel Hills Clinic.

The provider's business location address is:

13838 S 46TH PL STE 340
PHOENIX, AZ
ZIP 85044-805
Phone: (832) 542-3181

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 enumeration date for this NPI number is 3/4/2021 and was last updated on 2/14/2022.

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	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care			No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			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	084714	MEDICAID	ARIZONA
2	606122	MEDICAID	ARIZONA

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

NPI Synchronization or Removal

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