Bethany Medical Clinic, Llc in Cleveland - Family
Bethany Medical Clinic, Llc - NPI 1487792032
Bethany Medical Clinic, Llc is a Family in Cleveland, Mississippi. Bethany Medical Clinic, Llc practices all healthcare services and medical treatments related to Family. The NPI Number for Bethany Medical Clinic, Llc is 1487792032. The last update date is 2010-03-09.
Bethany Medical Clinic, Llc's current location address is Po Box 358, Cleveland, Mississippi. You can contact this provider via phone number 6628465032 and fax number 6628465034. The mailing address for Bethany Medical Clinic, Llc is Po Box 358, Cleveland, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bethany Medical Clinic, Llc |
|---|---|
| Address | Po Box 358, Cleveland, Mississippi |
| Phone Number | 6628465032 |
| Fax Number | 6628465034 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | INS. CLERK |
|---|---|
| Authorized Official Name | Moore Ricky |
| Telephone Number | 6628465032 |
NPI Number Detail
| NPI Number | 1487792032 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2010-03-09 |
Provider Mailing Address Detail
| Address | Po Box 358 |
|---|---|
| City | Cleveland |
| State | Mississippi (MS) |
| Post Code | 387320358 |
| Phone Number | 6628465032 |
| Fax Number | 6628465034 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R793654 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7021837 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Bethany Medical Clinic, Llc by the Centers for Medicare & Medicaid Services?
The Bethany Medical Clinic, Llc has been assigned the NPI (National Provider Identifier) 1487792032 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Bethany Medical Clinic, Llc?
The Bethany Medical Clinic, Llc is situated at Po Box 358, in the city of Cleveland, state of MS, with the zip code 387320358.
What is the area of specialization for Bethany Medical Clinic, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Bethany Medical Clinic, Llc is Family, and the corresponding taxonomy code that categorizes this area of expertise is 363Lf0000X.
When was the Bethany Medical Clinic, Llc's 1487792032 issued?
The Bethany Medical Clinic, Llc's 1487792032 was issued on 2007-02-02.
When was the Bethany Medical Clinic, Llc's information last updated?
The Bethany Medical Clinic, Llc's information was last updated on 2010-03-09.
NPI Number: 1205828894
Address: 5801 S Mcclintock Dr, Tempe, AZ