Organization Active NPI

Bash Family Practice

  • Primary Care Clinic/Center
  • Butler, PA
National Provider Identifier
1629449996
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
TP005043B Issued in PA
Legal business name
BASH FAMILY PRACTICE
Practice address
206 S Duffy Rd
Butler, PA 16001-2709
Phone
(724) 285-1988
Fax
(724) 256-8752
NPI assigned
Oct 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Authorized official

Name
Beth A Bash, CRNPNPI 1225079973
Title
CRNP
Phone
(724) 285-1988

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
Primary Care Clinic/Center 261QP2300X TP005043B PA Primary

Addresses

Primary practice location

206 S Duffy Rd
Butler, PA 16001-2709

Mailing address

166 Moore Rd
Butler, PA 16001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181023001251 PA Part B Supplier - Clinic/Group Practice 4183977085 Receives reassigned benefits from 2 practitioners
Practice locations: Butler, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2106212Bash Family Practice206 S Duffy Rd, Butler, PA 16001Certificate of waiverDec 13, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1629449996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 MOORE RD",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "16001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S DUFFY RD",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012709",
            "telephone_number": "724-285-1988",
            "fax_number": "724-256-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASH FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "BASH",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CRNP",
        "authorized_official_telephone_number": "724-285-1988",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PA",
            "license": "TP005043B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.