NPIMap

Organization Active NPI

Bethany Medical Rural Health Clinic

  • Rural Health Clinic/Center
  • Bethany, MO
National Provider Identifier
1851496863
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
R8C23 Issued in MO
Legal business name
BETHANY MEDICAL RURAL HEALTH CLINIC
Practice address
3202 Miller St
Bethany, MO 64424-2713
Phone
(660) 425-3154
Fax
(660) 425-6663
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Dr. Natu B Patel, MDNPI 1639176365
Title
Physician/Owner
Phone
(660) 425-3154

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
Rural Health Clinic/Center 261QR1300X R8C23 MO Primary

Addresses

Primary practice location

3202 Miller St
Bethany, MO 64424-2713

Mailing address

3202 Miller St
Bethany, MO 64424-2713
Phone (660) 425-3154

Other identifiers 1

IdentifierTypeStateIssuer
598581601MedicaidMO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1851496863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 MILLER ST",
            "city": "BETHANY",
            "state": "MO",
            "postal_code": "644242713",
            "telephone_number": "660-425-3154",
            "fax_number": "660-425-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 MILLER ST",
            "city": "BETHANY",
            "state": "MO",
            "postal_code": "644242713",
            "telephone_number": "660-425-3154",
            "fax_number": "660-425-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY MEDICAL RURAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NATU",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "660-425-3154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MO",
            "license": "R8C23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "598581601",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethany, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.