Bethesda Resources Inc
Organization Active NPI Radiation Oncology Physician · Clarksdale, MS
NPI 1639209588 · NPPES record last updated Oct 20, 2008
Key facts
- NPI
- 1639209588
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiation Oncology Physician 2085R0001X
- License
- 17137 (MS)
- Legal business name
- BETHESDA RESOURCES INC
- Practice address
- 581 Medical Dr
Clarksdale, MS 38614-6733 - Phone
- (662) 624-8731
- Fax
- (662) 627-4674
- NPI assigned
- Mar 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Craig Weeks
- Title
- VP Finance
- Phone
- (256) 383-3325
Corporate family (same tax ID) 6
National Provider Directory
- Tax ID family
- Bethesda Resources Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician |
2085R0001X | 17137 | MS | Yes |
Addresses
Primary practice location
581 Medical Dr
Clarksdale, MS 38614-6733
Mailing address
505 W Louise Ave
Muscle Shoals, AL 35661-1517
Phone (256) 383-3325
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09015885 | Medicaid | MS |
Other names
- Bethesda Cancer Center
Other providers in Clarksdale, MS
- William Michael Barr
- Willie George Bays II
- Vikram Reddy Beemidi
- Dana Bell
- G D Berryhill Jr.
- Shakira Denise Birge
- Queen Blue
- Vetrice Bolden
- Dorothy L Booker
- William Lloyd Booker
All providers in Clarksdale, MS · Radiation Oncology Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.