Bethany Medical Clinic

LBN: Bethany Medical Clinic
Bethany Medical Clinic is an health care organization with primary practice located at 548 Rosemary Road Suite A, Cleveland MS 38732-0358. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Bethany Medical Clinic can be contacted via phone (662) 846-5032, or through Brandon, Charline via phone (662) 846-5032.

Contact Information

Primary practice address
548 Rosemary Road Suite A Cleveland MS 38732-0358
Phone: (662) 846-5032
Fax: (662) 846-5034
Website:
Map and Directions
Authorized official contact:
Name: Brandon, Charline Registered Nurse (RN)
Phone: (662) 846-5032

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1003900655
LBN Legal business name Bethany Medical Clinic
DBA Doing business as
Authorized official Brandon, Charline Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 30th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003900655 NPPES
Mississippi MEDICAID 06806279

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