NPIMap

Organization Active NPI

Bethel Hills Integrated Healthcare PLLC

Doing business as Bethel Hills Clinic

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1629676317
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
BETHEL HILLS INTEGRATED HEALTHCARE PLLC
Doing business as
Bethel Hills Clinic
Practice address
13838 S 46TH PL Ste 300
Phoenix, AZ 85044-7804
Phone
(832) 542-3181
NPI assigned
Oct 14, 2020
Last updated
Mar 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Authorized official

Name
Olubukola KomolafeNPI 1134628738
Title
Medical Director
Phone
(832) 542-3181

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
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

13838 S 46TH PL Ste 300
Phoenix, AZ 85044-7804

Mailing address

13838 S 46TH PL Ste 300
Phoenix, AZ 85044-7804

Other names 1

  • Bethel Hills Clinic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL admin@bethelhillsintegrated.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Bethel Hills Clinic4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1629676317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13838 S 46TH PL STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850447804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13838 S 46TH PL STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850447804",
            "telephone_number": "832-542-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL HILLS INTEGRATED HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2022-03-18",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "KOMOLAFE",
        "authorized_official_first_name": "OLUBUKOLA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "832-542-3181"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "admin@bethelhillsintegrated.com",
            "affiliation": "N",
            "endpointDescription": "Organization email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "13838 S 46th Pl Ste 300",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850447804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bethel Hills Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bethel Hills Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.