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BETHANY MEDICAL CENTER NPI 1992133870


NPI Information

NPI: 1992133870
Provider Name: BETHANY MEDICAL CENTER

Other Name: BETHANY PATHOLOGY LAB

Classification: Pathology - 207ZP0102X
Entity Type: Organization

Specialization: Anatomic Pathology & Clinical Pathology

CLIA Number: 34D0238136

Address:
100 N BRIDGE ST
SUITE C
WILKESBORO, NC
ZIP 28697
Phone: (336) 883-0029
Get Directions

BETHANY MEDICAL CENTER is an anatomic pathology and clinical pathology pathology in Wilkesboro, NC. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. BETHANY MEDICAL CENTER NPI is 1992133870. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Bethany Pathology Lab.

The provider's business location address is:

100 N BRIDGE ST
SUITE C
WILKESBORO, NC
ZIP 28697-488
Phone: (336) 883-0029
Fax: (336) 899-2188

The provider's authorized official is Mandy Womble .
The authorized official title is Cfo and has the following contact phone number (336) 883-0029.

The CLIA number assigned to this NPI record is 34D0238136 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/31/2013 and was last updated on 10/31/2013.


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
1207ZC0500XPathologyCytopathologyNORTH CAROLINANo
2207ZP0101XPathologyAnatomic PathologyNORTH CAROLINANo
3207ZP0102XPathologyAnatomic Pathology & Clinical PathologyNORTH CAROLINAYes

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 Other Provider Identifier Issuer
13409940MEDICAIDNORTH CAROLINA
22316178MEDICARE UPINNORTH CAROLINA
32316178DMEDICARE UPINNORTH CAROLINA
45907644MEDICAIDNORTH CAROLINA
589011F1MEDICAIDNORTH CAROLINA
67901101MEDICAIDNORTH CAROLINA
72316178AMEDICARE UPINNORTH CAROLINA
82381006MEDICARE UPINNORTH 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: 5/5/2024

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