BETHANY MEDICAL CENTER NPI 1780015842

NPI Information

NPI: 1780015842
Provider Name: BETHANY MEDICAL CENTER
Classification: Clinic/Center - 261QM1300X
Specialization: Multi-Specialty
Entity Type: Organization
Address: 3605 PETERS CT
HIGH POINT, NC
ZIP 27265
Phone: (336) 883-0029

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NPI Details

BETHANY MEDICAL CENTER is a multi-specialty clinic center in High Point, NC. BETHANY MEDICAL CENTER NPI is 1780015842. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3605 PETERS CT
HIGH POINT, NC
ZIP 27265
Phone: (336) 883-0029
Fax: (336) 883-0867

The provider's authorized official is Lenin J Peters .
The authorized official title is Ceo and has the following contact phone number (336) 883-0029.

The enumeration date for this NPI number is 11/27/2013 and was last updated on 12/6/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	2013-02261	NORTH CAROLINA	No
2	261QM1300X	Clinic/Center	Multi-Specialty			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	5907644	MEDICAID	NORTH CAROLINA
2	89011F1	MEDICAID	NORTH CAROLINA
3	7901101	MEDICAID	NORTH CAROLINA
4	3409940	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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