Organization Active NPI

Bethany Womens Healthcare, P.C.

Doing business as Bethany Birth Center

  • Birthing Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1811091929
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
License
OTC0777 Issued in AZ
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
320151MedicaidAZ
68-80013MedicaidAZ
621484OtherAZAETNA
AZ0203330OtherAZBLUE CROSS BLUE SHIELD

Other names 1

  • Bethany Birth Center Doing business as

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
03D0874922Bethany Womens HLTH Care PC-Birth Ctr3660 W Bethany Home Rd, Phoenix, AZ 85019Provider-performed microscopyApr 19, 2028

National Provider Directory

National Provider Directory
Tax ID family
Bethany Birth Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

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

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.

Verify at the official NPI Registry.