Active NPI
Bethany Womens Healthcare, P.C.
Doing business as Bethany Birth Center
- Birthing Clinic/Center
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Birthing Clinic/Center
- License
- OTC0777
- Legal business name
- BETHANY WOMENS HEALTHCARE, P.C.
- Doing business as
- Bethany Birth Center
- Practice address
- 3660 W Bethany Home Rd
Suite B
Phoenix, AZ 85019-1953 - Phone
- (602) 973-3200
- Fax
- (602) 973-0508
- NPI assigned
- Sep 11, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sheila Casebolt, CCS-P
- Title
- Practice Administrator
- Phone
- (602) 973-3200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Birthing Clinic/Center | 261QB0400X | OTC0777 | AZ | Primary |
Addresses
Primary practice location
3660 W Bethany Home Rd
Suite B
Phoenix, AZ 85019-1953
Mailing address
3660 W Bethany Home Rd
Suite B
Phoenix, AZ 85019-1953
Phone (602) 973-3200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 320151 | Medicaid | AZ | |
| 68-80013 | Medicaid | AZ | |
| 621484 | Other | AZ | AETNA |
| AZ0203330 | Other | AZ | BLUE CROSS BLUE SHIELD |
Other names 1
- Bethany Birth Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D0874922 | Bethany Womens HLTH Care PC-Birth Ctr | Provider-performed microscopy | Apr 19, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Bethany Birth Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Phoenix, AZ
- NPI 1104863588
Locations
3660 W Bethany Home Rd
Ste B
Phoenix, AZ 85019
Phone (602) 626-8851
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Obstetrics & Gynecology Physician
- Tempe, AZ
- NPI 1326191115
-
- Obstetrics & Gynecology Physician
- Phoenix, AZ
- NPI 1356552848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1811091929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3660 W BETHANY HOME RD",
"address_2": "SUITE B",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850191953",
"telephone_number": "602-973-3200",
"fax_number": "602-973-0508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3660 W BETHANY HOME RD",
"address_2": "SUITE B",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850191953",
"telephone_number": "602-973-3200",
"fax_number": "602-973-0508"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETHANY WOMENS HEALTHCARE, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CASEBOLT",
"authorized_official_first_name": "SHEILA",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "602-973-3200",
"authorized_official_credential": "CCS-P"
},
"taxonomies": [
{
"code": "261QB0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Birthing",
"state": "AZ",
"license": "OTC0777",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "320151",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "68-80013",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "621484",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "AZ0203330",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bethany Birth Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Phoenix, AZ
- Beth a. Purdy, MD, PLC
- Bruce A. Bethancourt Jr., M.D.
- Kirsten Bethancourt, DPT
- Bethany Ranch Home, Inc
- Bethany Womens Healthcare
- Bethel Hills Integrated Healthcare (Bethel Hills Clinic)
- Bethel Hills Integrated Healthcare
- Bethel Hills Integrated Healthcare PLLC (Bethel Hills Clinic)
- Bethel Hills Integrated Healthcare PLLC (Bethel Hills Clinic)
- Bethel Hills Intergrated Healthcare PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.