Bethany Christian Services of Northwest Iowa

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BETHANY CHRISTIAN SERVICES OF NORTHWEST IOWA

Practice address

123 Albany Ave SE
Orange City, IA 51041-1715

Phone

(712) 737-4831

Fax

(712) 737-3238

NPI assigned

Apr 23, 2009

Last updated

Apr 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kim Scorza, MA, LMSW

Title

Branch Director

Phone

(712) 737-4831

Specialties & licenses 2

Addresses

Other identifiers 3

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1548404445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 ALBANY AVE SE",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411715",
            "telephone_number": "712-737-4831",
            "fax_number": "712-737-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 ALBANY AVE SE",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411715",
            "telephone_number": "712-737-4831",
            "fax_number": "712-737-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY CHRISTIAN SERVICES OF NORTHWEST IOWA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "SCORZA",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "BRANCH DIRECTOR",
        "authorized_official_telephone_number": "712-737-4831",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NE",
            "license": "35396374",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "1639372642",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639372642",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE-CROSS BLUE SHIELD",
            "identifier": "1639372642",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori L Anderson, PA
• Joan Andres
• Kari Michelle Beadner, CFCP
• Melody Deanne Becker Pullman, LMHC
• Gregory D. Beernink, D.D.S.
• Susan Blankers
• Gail Lynn Bolton, AU.D.,CCC/A
• Samantha Mae Bormann, MA
• Christopher Steven Canu
• Mackenzie Elizabeth Carey

• Community/Behavioral Health Agency in Orange City, IA
• Providers in Orange City, IA by specialty
• Community/Behavioral Health Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.