NPIMap

Organization Active NPI

Bethanna

  • Community/Behavioral Health Agency
  • Philadelphia, PA
National Provider Identifier
1710104252
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BETHANNA
Practice address
2500 Wharton St
Philadelphia, PA 19146-3942
Phone
(215) 355-6500
Fax
(215) 564-4740
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Authorized official

Name
Ms. Karen Hamilton
Title
President/Ceo
Phone
(215) 355-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2500 Wharton St
Philadelphia, PA 19146-3942

Mailing address

1844 Street Rd
Southampton, PA 18966-4582
Phone (215) 355-6500

Other practice location 1

1844 Street Rd
Southampton, PA 18966-4582
Phone (215) 355-6500

Other identifiers 2

IdentifierTypeStateIssuer
100751341-0018MedicaidPA
100751341-0020MedicaidPA

Other names 1

  • Bethanna Bible and Missionary Center Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Bethanna7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

1844 Street Rd
Southampton, PA 18966
Phone (215) 357-4066

Practitioners & affiliated clinicians

Practitioners 1

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": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1710104252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 STREET RD",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664582",
            "telephone_number": "215-355-6500",
            "fax_number": "215-355-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 WHARTON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191463942",
            "telephone_number": "215-355-6500",
            "fax_number": "215-564-4740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1844 Street Rd",
            "address_purpose": "LOCATION",
            "city": "Southampton",
            "state": "PA",
            "postal_code": "189664582",
            "country_code": "US",
            "telephone_number": "215-355-6500",
            "fax_number": "215-355-8617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BETHANNA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "215-355-6500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100751341-0018",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100751341-0020",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethanna Bible and Missionary Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.