Bethel University

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

BETHEL UNIVERSITY

Practice address

3900 Bethel Dr
Msc2376
Saint Paul, MN 55112-6902

Phone

(651) 638-6215

Fax

(651) 635-8676

NPI assigned

Feb 25, 2014

Organization subpart

No

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

Authorized official

Name

Randy Bergen

Title

Exec. Assistant to the President

Phone

(651) 638-6287

Specialties & licenses 1

Addresses

Other names 1

• Bethel University Health Services Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Leah Jackson

  • Physical Therapist
  • Saint Paul, MN
  • NPI 1104352673
  NPD (past)

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1265857460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 BETHEL DR",
            "address_2": "MSC2376",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551126902",
            "telephone_number": "651-638-6215",
            "fax_number": "651-635-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 BETHEL DR",
            "address_2": "MSC2376",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551126902",
            "telephone_number": "651-638-6215",
            "fax_number": "651-635-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-25",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "BERGEN",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "EXEC. ASSISTANT TO THE PRESIDENT",
        "authorized_official_telephone_number": "651-638-6287"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethel University Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Best Care LLC
• Best Care LLC
• Best Choice Home Healthcare, LLC
• Best in-Home Health Services
• Mackenzie Ann Bestul, PA-C
• Bethesda Hospital, Healtheast
• Andrew Dennis Betlach, CPO
• Better Beginnings LLC
• Better Choices Better Communities
• Better Life Housing LLC

• Student Health Clinic/Center in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Student Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.