BETHANNA (NPI# 1114143823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114143823 |
| Entity Type | Organization |
| Organization Name | BETHANNA |
| Other Organization Name | BETHANNA BIBLE AND MISSIONARY CENTER |
| Practice Address |
1030 2nd Street Pike Southampton PA 18966-3955 |
| Practice Telephone | 2153556500 |
| Practice Fax Number | 2153558617 |
| Mailing Telephone | 2153556500 |
| Mailing Fax Number | 2153558617 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RONALD L FRITCH (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2153556500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 100910 | PA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007513410001 | 05 |
| Other Name | Type Code |
|---|---|
| Bethanna Bible and Missionary Center | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801300512 | Bethanna | Community/Behavioral Health | 2500 Wharton St, Philadelphia, PA 19146-3942 | 2017-11-17 |
| 1962627851 | Bethanna | Community/Behavioral Health | 1212 Wood St, Philadelphia, PA 19107-1113 | 2007-04-16 |
| 1255407532 | Bethanna | Residential Treatment Facility, Emotionally Disturbed Children | 1030 2nd Street Pike, Southampton, PA 18966-3955 | 2006-11-28 |
| 1710104252 | Bethanna | Community/Behavioral Health | 1212 Wood St, Philadelphia, PA 19107-1113 | 2007-04-19 |
| 1447477989 | Bethanna | Nursing Care | 1030 2nd Street Pike, Southampton, PA 18966-3955 | 2007-04-19 |
| Street Address |
1030 2ND STREET PIKE |
| City | SOUTHAMPTON |
| State | PA |
| Zip Code | 18966-3955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255407532 | Bethanna | Residential Treatment Facility, Emotionally Disturbed Children | 1030 2nd Street Pike, Southampton, PA 18966-3955 | 2006-11-28 |
| 1023656949 | Stc Pediatrics LLC | Pediatrics | 1030 2nd Street Pike, Southampton, PA 18966-3955 | 2019-12-11 |
| 1447477989 | Bethanna | Nursing Care | 1030 2nd Street Pike, Southampton, PA 18966-3955 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033758636 | Nancy Rubin | Speech-Language Pathologist | Nancy Rubin, 32 Brook Drive, Southampton, PA 18966 | 2019-12-30 |
| 1265970669 | Dominic Bogucki | Specialist/Technologist | 75 Meadowfield Dr, Southampton, PA 18966 | 2017-02-06 |
| 1518404359 | Amanda Phillips | Social Worker | 504 Lakeside Office Park, Suite 504, Southampton, PA 18966 | 2017-01-31 |
| 1386988830 | Sara Beth Bergman | Occupational Therapy Assistant | 1354 Hi View Drive, Southampton, PA 18966 | 2012-11-22 |
| 1326325523 | Annie Varughese | Pharmacist | 139 Lark Dr, Holland, PA 18966 | 2011-11-16 |
| 1912284993 | Christine Renee Nichols | Social Worker | 1030 Second Street Pike, Southampton, PA 18966 | 2011-11-04 |
| 1407134125 | Apex Smiles LLC | Dentist | 771 2nd Street Pike, Southampton, PA 18966 | 2011-07-29 |
| 1790092708 | The Comprehensive Learning Center, Inc. | Community/Behavioral Health | 150 James Way, Southampton, PA 18966 | 2010-09-13 |
| 1861713786 | Austin Patrick Daly | Dentist | 404 Lakeside Park, Southampton, PA 18966 | 2010-06-15 |
| 1164660015 | Andrew J Sohl | Podiatrist | 86 Buck Rd Ste 2, Southampton, PA 18966 | 2009-01-30 |
| Find all providers in zip 18966 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629567581 | North Star Counseling | Community/Behavioral Health | 758 2nd Street Pike Ste 3, Southampton, PA 18966-3972 | 2018-05-07 |
| 1841563228 | Compassionate Counseling Individual and Family Therapy | Community/Behavioral Health | 36 Belmont Sta, Southampton, PA 18966-3769 | 2012-02-16 |
| 1790092708 | The Comprehensive Learning Center, Inc. | Community/Behavioral Health | 150 James Way, Southampton, PA 18966 | 2010-09-13 |
| 1215258603 | Horizons Behavioral Health | Community/Behavioral Health | 113 Lakeside Park, Southampton, PA 18966-4048 | 2010-06-19 |
| 1225483332 | Southampton Patient Coordination LLC | Community/Behavioral Health | 1018 Street Rd, Southampton, PA 18966-4221 | 2016-04-26 |
| 1831519883 | Alternative Counseling Services, Inc | Community/Behavioral Health | 291 Hampton Rd, Southampton, NY 11968-5029 | 2014-04-17 |
| 1760727408 | Growth Opportunity Center | Community/Behavioral Health | 928 Jaymor Rd, B150, Southampton, PA 18966 | 2012-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447115 | Forward Plan LLC | Community/Behavioral Health | 900 Macfarlane Dr, Pittsburgh, PA 15235-4230 | 2020-11-06 |
| 1821699240 | Eternal Renewal, LLC | Community/Behavioral Health | 501 N Charlotte St Fl 2, Pottstown, PA 19464-4602 | 2020-11-03 |
| 1417557174 | Kensington Hospital Non Hospital Short Term/long Term Rehab | Community/Behavioral Health | 136 W. Diamond St, Philadelphia, PA 19122-1721 | 2020-10-30 |
| 1699373415 | Maternity Care Coalition | Community/Behavioral Health | 401 Dekalb St, Norristown, PA 19401-4909 | 2020-10-14 |
| 1558969741 | Centerville Clinics Inc | Community/Behavioral Health | Centerville Clinics-intensive Behavioral Health Service, 37 Highland Avenue, Washington, PA 15301-4062 | 2020-10-12 |
| 1023624202 | Allied Health Care Services | Community/Behavioral Health | 1124 Scott St, Wilkes Barre, PA 18705-3737 | 2020-09-22 |
| 1518573708 | Mental Health Solution | Community/Behavioral Health | 2671 Darlington Rd, Beaver Falls, PA 15010-1280 | 2020-09-22 |
| 1629684584 | Peace & Clarity Counseling LLC | Community/Behavioral Health | 1 E Broad St Ste 130-1096, Bethlehem, PA 18018-5913 | 2020-09-16 |
| 1548874746 | Room 2 Grow, LLC | Community/Behavioral Health | 7500 Brooktree Rd Ste 201, Wexford, PA 15090-9285 | 2020-09-04 |
| 1134733819 | Keeping It Real Counseling, LLC | Community/Behavioral Health | 2937 Route 611 Unit 9a, Tannersville, PA 18372-6000 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHAMPTON |
| Zip Code | 18966 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.