NPIMap

Organization Active NPI

Bethany Christian Services of WV

  • Social Worker
  • Martinsburg, WV
National Provider Identifier
1083246714
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
BETHANY CHRISTIAN SERVICES OF WV
Practice address
101 Medical CT Ste 100
Martinsburg, WV 25401-3854
Phone
(304) 620-2695
Fax
(304) 620-5180
NPI assigned
Feb 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa Stoutmeyer
Title
Biller
Phone
(616) 224-7429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

101 Medical CT Ste 100
Martinsburg, WV 25401-3854

Mailing address

291 Rock Cliff Dr
Martinsburg, WV 25401-2835
Phone (304) 620-2695

Other names 2

  • Bethany Christian Services of Central PA Doing business as
  • Bethany Christian Serives of Central PA Other name

National Provider Directory

National Provider Directory
Tax ID family
Bethany Christian Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

101 Medical Ct
Ste 100
Martinsburg, WV 25401
Phone (304) 620-2695

291 Rock Cliff Dr
Martinsburg, WV 25401
Phone (304) 620-2695

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1083246714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 ROCK CLIFF DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012835",
            "telephone_number": "304-620-2695",
            "fax_number": "304-620-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MEDICAL CT STE 100",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254013854",
            "telephone_number": "304-620-2695",
            "fax_number": "304-620-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY CHRISTIAN SERVICES OF WV",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "STOUTMEYER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "616-224-7429"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethany Christian Services of Central PA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bethany Christian Serives of Central PA",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Bethany Christian Serives of Central PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.