Active NPI
Bethesda Health City, Inc.
- Diagnostic Radiology Physician
- Boynton Beach, FL
National Provider Identifier
1104830538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- BETHESDA HEALTH CITY, INC.
- Practice address
- 10301 Hagen Ranch Rd
Boynton Beach, FL 33437-3724 - Phone
- (561) 736-1200
- Fax
- (561) 742-1919
- NPI assigned
- Jul 29, 2006
- Last updated
- Feb 2, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert Hill
- Title
- President
- Phone
- (561) 736-1200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
10301 Hagen Ranch Rd
Boynton Beach, FL 33437-3724
Mailing address
200 Knuth Rd
Suite 200
Boynton Beach, FL 33436-4693
Phone (561) 736-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 252088500 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
200 Knuth Rd
#9994
Boynton Beach, FL 33436
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328140800000",
"number": "1104830538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 KNUTH RD",
"address_2": "SUITE 200",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334364693",
"telephone_number": "561-736-1200",
"fax_number": "561-742-1919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10301 HAGEN RANCH RD",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334373724",
"telephone_number": "561-736-1200",
"fax_number": "561-742-1919"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETHESDA HEALTH CITY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-29",
"last_updated": "2012-02-02",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-736-1200",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "252088500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
- Bestcare HME LLC
- Bestsole Inc.
- Anika Bethel, MD
- Diane Marie Bethel, LMHC
- Bethesda Anesthesia Associates, Inc.
- Bethesda Health Comprehensive Imaging Services, Inc.
- Bethesda Health Physician Group, Inc.
- Bethesda Hospital Inc
- Bethesda Hospital Inc. (Cornell Institute for Rehabilitative Medicine)
- Bethesda Hospital, Inc (Bethesda Hospital Outpatient Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.