Bethany Homes and Methodist Hospital

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

BETHANY HOMES AND METHODIST HOSPITAL

Doing business as

Methodist Hospital of Chicago

Practice address

1550 S Albany Ave
Chicago, IL 60623-2212

Phone

(773) 989-1465

Fax

(773) 989-1377

NPI assigned

Aug 10, 2010

Last updated

Aug 10, 2010By 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

Mr. Harold Marshall Reisler

Title

Controller

Phone

(773) 989-1465

Specialties & licenses 1

Addresses

Other names 1

• METHODIST HOSPITAL OF CHICAGO Doing business as

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1609181106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 N PAULINA ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402772",
            "telephone_number": "773-989-1465",
            "fax_number": "773-989-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 S ALBANY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606232212",
            "telephone_number": "773-989-1465",
            "fax_number": "773-989-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY HOMES AND METHODIST HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "REISLER",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "MARSHALL",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "773-989-1465",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "METHODIST HOSPITAL OF CHICAGO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Mental Health Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.