Bethanna

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

100910 Issued in PA

Legal business name

BETHANNA

Practice address

1030 2ND Street Pike
Southampton, PA 18966-3955

Phone

(215) 355-6500

Fax

(215) 355-8617

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ronald L Fritch

Title

Chief Financial Officer

Phone

(215) 355-6500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bethanna Bible and Missionary Center Former legal business name

Tax ID family

Bethanna7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

• Bethanna

  • Community/Behavioral Health Agency
  • Southampton, PA
  • NPI 1114143823
  NPD tax ID
• Bethanna

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Southampton, PA
  • NPI 1255407532
  NPD tax ID
• Bethanna

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1578153847
  NPD tax ID
• Bethanna

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1710104252
  NPD tax ID
• Bethanna

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1801300512
  NPD tax ID
• Bethanna

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1962627851
  NPD tax ID

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447477989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 2ND STREET PIKE",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663955",
            "telephone_number": "215-355-6500",
            "fax_number": "215-355-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 2ND STREET PIKE",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663955",
            "telephone_number": "215-355-6500",
            "fax_number": "215-355-8617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANNA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRITCH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "215-355-6500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "PA",
            "license": "100910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007513410006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethanna Bible and Missionary Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Nursing Care Agency in Southampton, PA
• Providers in Southampton, PA by specialty
• Nursing Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.