BETHLEHEM FAMILY PRACTICE, PA (NPI# 1245218940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245218940 |
| Entity Type | Organization |
| Organization Name | BETHLEHEM FAMILY PRACTICE, PA |
| Other Organization Name | MARK A. FARUQUE MD PA |
| Practice Address |
174 Bolick Ln Suite 202 Taylorsville NC 28681-3319 |
| Mailing Address |
Po Box 6306 Bethlehem Station Hickory NC 28603-6403 |
| Practice Telephone | 8284958226 |
| Practice Fax Number | 8284954191 |
| Mailing Telephone | 8284958226 |
| Mailing Fax Number | 8284954191 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2010-01-14 |
| Authorized Official Name | MARK A FARUQUE (PHYSICIAN OWNER) |
| Authorized Official Telephone | 8284958226 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
33651 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 348918C | 05 | |
| NC | BCBS | 0238U | 01 |
| NC | 348918A | 05 |
| Other Name | Type Code |
|---|---|
| Mark A. Faruque MD PA | Former Legal Business Name - Organization |
| Street Address |
174 BOLICK LN SUITE 202 |
| City | TAYLORSVILLE |
| State | NC |
| Zip Code | 28681-3319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629490818 | Chiro Carolina Family and Sports Care | Chiropractor | 174 Bolick Ln, Suite 102, Taylorsville, NC 28681-3319 | 2014-01-08 |
| 1073945994 | Richard Woodrow Williams IIi | Chiropractor | 174 Bolick Ln, Suite 102, Taylorsville, NC 28681-3319 | 2013-08-01 |
| 1972849024 | Bethlehem Family Practice | Family Medicine | 174 Bolick Ln, Suite 202, Taylorsville, NC 28681-3319 | 2012-12-18 |
| 1386764173 | Mark A Faruque | Family Medicine | 174 Bolick Ln, Suite 202, Taylorsville, NC 28681-3319 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137665 | Kenzi Care LLC | Assisted Living Facility | 668 Wood Rd, Taylorsville, NC 28681 | 2019-04-25 |
| 1831651918 | Rebecca Ann Soltysiak | Speech-Language Pathologist | 581 Hwy 16 South, Taylorsville, NC 28681 | 2019-04-05 |
| 1356790745 | Carolina Dental Care Centere | Dentist | 556 Nc-16, Taylorsville, NC 28681 | 2016-06-07 |
| 1952738999 | Changing Lives Now LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3598 North Carolina 90, Taylorsville, NC 28681 | 2013-10-05 |
| 1952642472 | Counseling and Support Associates, PC | Community/Behavioral Health | 121 E. Main Ave., Taylorsville, NC 28681 | 2013-03-07 |
| 1649550237 | Matthew Tyler Holland | Chiropractor | 92 Main Ave Drive, Taylorsville, NC 28681 | 2011-08-26 |
| 1811147358 | Sachi J Jhaveri-mehta | Psychologist | 630 Old Landfill Road, Taylorsville, NC 28681 | 2008-09-21 |
| 1033324421 | Jack T. Brinkley, D.m.d., P.a. | Dentist | 163 Main Avenue Drive, Taylorsville, NC 28681 | 2007-05-11 |
| 1649303579 | Comserv, Inc. | Intermediate Care Facility, Mentally Retarded | 4165 Nc Highway 127, Taylorsville, NC 28681 | 2007-03-13 |
| 1144381765 | Diane Gaines | Counselor | 397 3rd Avenue Sw, Taylorsville, NC 28681 | 2006-12-13 |
| Find all providers in zip 28681 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1720557747 | Baptist Health Medical Group Inc | Clinic/Center | 870 Taylorsville Rd, Taylorsville, KY 40071-0819 | 2018-11-20 |
| 1275157141 | Covington County Hospital | Clinic/Center | 105 Eaton St, Taylorsville, MS 39168-5614 | 2020-06-05 |
| 1124402946 | Iredell Physician Network LLC | Clinic/Center | 1668 Nc Highway 16 S, Taylorsville, NC 28681-6285 | 2015-07-10 |
| 1396770756 | Family Care Center, P.a. | Clinic/Center | 1668 N C Highway 16 South, Taylorsville, NC 28681 | 2006-07-12 |
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| 1689209553 | Murphy Medical Center Inc | Clinic/Center | 125 Medical Park Ln Ste H, Murphy, NC 28906-6921 | 2020-03-11 |
| 1528623725 | Cynthia Mcarthur-kearney | Clinic/Center | 531 Hillsboro St, Fayetteville, NC 28301-4634 | 2019-05-03 |
| 1528559671 | Bladen Healthcare LLC | Clinic/Center | 273 White Lake Dr, White Lake, NC 28337 | 2018-05-24 |
| 1043759335 | Bladen Healthcare LLC | Clinic/Center | 88 E Green St., Clarkton, NC 28433-5002 | 2017-02-20 |
| 1114269677 | Bladen Healthcare LLC | Clinic/Center | 107e Dunham St, Elizabethtown, NC 28337-9037 | 2013-03-22 |
| 1699062802 | Cah Acquisition Company 1 LLC | Clinic/Center | 9500 Nc Highway 94 North, Creswell, NC 27928-8808 | 2011-07-08 |
| 1912294687 | Pioneer Health Services of Stokes County, Inc. | Clinic/Center | 1020 Hospice Drive, Danbury, NC 27016-0000 | 2011-07-01 |
| 1578858247 | Warren Community Health Clinic Inc. | Clinic/Center | 546 W Ridgeway St, Warrenton, NC 27589-1716 | 2011-06-10 |
| 1427282045 | Southeastern Regional Physician Services | Clinic/Center | 2002 N Cedar St Ste B, Lumberton, NC 28358-3926 | 2009-05-11 |
| 1578702189 | Appalachian Healthcare, Inc. | Clinic/Center | 9330 Highway 194, Lansing, NC 28643-0184 | 2009-02-05 |
| Find all providers with the same taxonomy | ||||
| City | TAYLORSVILLE |
| Zip Code | 28681 |
Please comment or provide details below to improve the information on BETHLEHEM FAMILY PRACTICE, PA.
| 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.