NPIMap

Organization Active NPI

Bethany Christian Service

  • Clinical Social Worker
  • Kalamazoo, MI
National Provider Identifier
1366865453
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801087024 Issued in MI
Legal business name
BETHANY CHRISTIAN SERVICE
Practice address
6687 Seeco Dr
Kalamazoo, MI 49009-5970
Phone
(269) 372-8800
Fax
(269) 372-8855
NPI assigned
Jan 27, 2014
Last updated
Jan 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Authorized official

Name
Karen RenzemaNPI 1265574040
Title
Program Director
Phone
(269) 372-8800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801087024 MI Primary

Addresses

Primary practice location

6687 Seeco Dr
Kalamazoo, MI 49009-5970

Mailing address

6687 Seeco Dr
Kalamazoo, MI 49009-5970
Phone (269) 372-8800

National Provider Directory

National Provider Directory
Tax ID family
Bethany Christian Services Inc18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1366865453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6687 SEECO DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490095970",
            "telephone_number": "269-372-8800",
            "fax_number": "269-372-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6687 SEECO DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490095970",
            "telephone_number": "269-372-8800",
            "fax_number": "269-372-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY CHRISTIAN SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-27",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "RENZEMA",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "269-372-8800"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.