Active NPI
Bethany Christian Services
- Community/Behavioral Health Agency
- Holland, MI
National Provider Identifier
1376835660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 6401009910
- Legal business name
- BETHANY CHRISTIAN SERVICES
- Practice address
- 12048 James St
Holland, MI 49424-9661 - Phone
- (616) 396-0623
- NPI assigned
- May 5, 2011
- Last updated
- May 5, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steve Eckert, LMSW
- Title
- Branch Manager
- Phone
- (616) 396-0623
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 6401009910 | MI | Primary |
Addresses
Primary practice location
12048 James St
Holland, MI 49424-9661
Mailing address
12048 James St
Holland, MI 49424-9661
Phone (616) 396-0623
National Provider Directory
National Provider Directory- Tax ID family
- Bethany Christian Serv Ices
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304553600000",
"number": "1376835660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12048 JAMES ST",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494249661",
"telephone_number": "616-396-0623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12048 JAMES ST",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494249661",
"telephone_number": "616-396-0623"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETHANY CHRISTIAN SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-05",
"last_updated": "2011-05-05",
"status": "A",
"authorized_official_last_name": "ECKERT",
"authorized_official_first_name": "STEVE",
"authorized_official_title_or_position": "BRANCH MANAGER",
"authorized_official_telephone_number": "616-396-0623",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MI",
"license": "6401009910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.