Bethel Hills Clinic

LBN: Bethel Hills Integrated Healthcare Pllc
Bethel Hills Clinic is an health care organization with primary practice located at 13838 S 46Th Pl Ste 340 , Phoenix AZ 85044-7805. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty. Bethel Hills Integrated Healthcare Pllc can be contacted via phone (832) 542-3181, or through Komolafe, Olubukola via phone (832) 542-3181.

Contact Information

Primary practice address
13838 S 46Th Pl Ste 340 Phoenix AZ 85044-7805
Phone: (832) 542-3181
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Komolafe, Olubukola DNP, PMHNP-BC, FNP-B
Phone: (832) 542-3181

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1902491699
LBN Legal business name Bethel Hills Integrated Healthcare Pllc
DBA Doing business as Bethel Hills Clinic
Authorized official Komolafe, Olubukola DNP, PMHNP-BC, FNP-B
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2021
Last updated Feb 14th, 2022 - about 3 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 1902491699 NPPES
Arizona MEDICAID 606122
Arizona MEDICAID 084714

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