Bethany Christian Servcies of Ca

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BETHANY CHRISTIAN SERVCIES OF CA

Practice address

3048 Hahn Dr
Modesto, CA 95350-6503

Phone

(209) 522-5121

Fax

(209) 522-4045

NPI assigned

Sep 20, 2023

Organization subpart

No

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

Authorized official

Name

Lisa Stoutmeyer

Title

Biller

Phone

(616) 224-7429

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1306624283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3048 HAHN DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953506503",
            "telephone_number": "209-522-5121",
            "fax_number": "209-522-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3048 HAHN DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953506503",
            "telephone_number": "209-522-5121",
            "fax_number": "209-522-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY CHRISTIAN SERVCIES OF CA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "STOUTMEYER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "616-224-7429"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Best Pharmacy
• Best Pharmacy Nguyen Giao
• Jasmine Betancourt
• Sean Michael Betesh, DPM
• Miranda Violeta Bethancourt, PT
• Britiel Bethishou, DO
• Cassidy Bethke
• Rena Betossib
• Lisa Betschart
• Debbie Bettencourt

• Multi-Specialty Clinic/Center in Modesto, CA
• Providers in Modesto, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.