Bethel House

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

BH5068 Issued in AZ

Legal business name

BETHEL HOUSE

Practice address

9820 E Paseo San Bernardo
Tucson, AZ 85747-5022

Phone

(520) 891-0081

Fax

(520) 344-8892

NPI assigned

Jan 4, 2017

Organization subpart

No

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

Authorized official

Name

Koffi Seddo

Title

Administrator

Phone

(520) 891-0081

Specialties & licenses 1

Addresses

Medicare enrollment (NPD)

Not enrolled

Tax ID family

Bethel2 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.

• Bethel

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1104162288
  NPD tax ID

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1154866853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 S HARRISON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857486608",
            "telephone_number": "520-721-1887",
            "fax_number": "520-344-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9820 E PASEO SAN BERNARDO",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857475022",
            "telephone_number": "520-891-0081",
            "fax_number": "520-344-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "SEDDO",
        "authorized_official_first_name": "KOFFI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "520-891-0081"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "AZ",
            "license": "BH5068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adilene Maria Betancourt, PHARMACY TECHNICIAN
• Robert Betancourt, M.D.
• Beth T Sachrison, MD
• Bethann Mahoney PC
• Bethel
• Forrest Benjamin Bethel, DO
• Allison Betsch, ED.S
• June E Betsch, PAC
• Laura Bette, LCSW
• Better ABA PLLC

• Psychiatric Residential Treatment Facility in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Psychiatric Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.