Bethany Christian Services of NC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BETHANY CHRISTIAN SERVICES OF NC

Practice address

1110 Navaho Dr Ste 109
Raleigh, NC 27609-7352

Phone

(919) 510-9511

Fax

(919) 510-9512

NPI assigned

Mar 11, 2019

Organization subpart

No

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

Authorized official

Name

Terri Bowles, MS, NCC

Title

Director

Phone

(704) 541-1833

Specialties & licenses 1

Addresses

Tax ID family

Bethany Christian Services of NC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Bethany Christian Services of NC

  • Multi-Specialty Clinic/Center
  • Charlotte, NC
  • NPI 1982279477
  NPD tax ID

Locations

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1124586060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 NAVAHO DR STE 109",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097352",
            "telephone_number": "919-510-9511",
            "fax_number": "919-510-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 NAVAHO DR STE 109",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097352",
            "telephone_number": "919-510-9511",
            "fax_number": "919-510-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY CHRISTIAN SERVICES OF NC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "BOWLES",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-541-1833",
        "authorized_official_credential": "MS, NCC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Michele Bestafka
• Bestfit DME, Inc.
• Beatriz Betancourt Ramirez
• Primo Betanio
• Bethany Argenio Therapy PLLC
• Latika Tychelle Bethea
• Mahogany Bethea
• Marie Catherine J a Kelin Lee Bethea, LCSW
• Frank Everette Bethel, CRISIS WORKER
• Nia F Bethel

• Multi-Specialty Clinic/Center in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Multi-Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.