Bethany Medical Center Inc
Organization Active NPI Nursing Facility/Intermediate Care Facility · Canton, OH
NPI 1083995807 · NPPES record last updated Sep 7, 2011
Key facts
- NPI
- 1083995807
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Facility/Intermediate Care Facility 313M00000X
- License
- 35.052446 (OH)
- Legal business name
- BETHANY MEDICAL CENTER INC
- Practice address
- 626 34TH St NW
Canton, OH 44709-2943 - Phone
- (330) 492-7171
- NPI assigned
- Sep 7, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Elizabeth Baum, MD
- Title
- President
- Phone
- (330) 492-7171
Practitioners 5
-
Elizabeth Baum, MD
-
Joseph Baum, MD
-
Lauren Amy Nicholson, NP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111006000174 | OH | Part B Supplier - Clinic/Group Practice | 7315119872 |
Receives reassigned benefits from 4 practitioners Practice locations: Canton, OH |
National Provider Directory
Locations
1605 Whipple Ave NW
Canton, OH 44708
Phone (216) 478-5595
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 35.052446 | OH | Yes |
Addresses
Primary practice location
626 34TH St NW
Canton, OH 44709-2943
Mailing address
626 34TH St NW
Canton, OH 44709-2943
Phone (330) 492-7171
Other providers in Canton, OH
- Kimberly Bertschy
- Alfreda Bess
- Best Observation Practices, LLC
- Bethany Health & Rehabilitation Center LLC
- Bethany Health & Rehabilitation Center LLC
- Bethany Nursing Home, Inc.
- Mangala V Betkerur
- Vasant Betkerur
- Better Lifestyles Residential Services LLC
- Wendy M Bettes
All providers in Canton, OH · Nursing Facility/Intermediate Care Facility in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.