NPI 1003900655 · live from the CMS NPI Registry
Bethany Medical Clinic
Family Medicine in Cleveland, MS. National Provider Identifier 1003900655, active.
NPI record
| NPI | 1003900655 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 548 Rosemary Road, Suite A, Cleveland, MS 38732 |
| Practice phone | 662-846-5032 |
| Mailing address | Po Box 358, 548 Rosemary Road, Cleveland, MS 38732 |
| Enumerated | October 3, 2006 |
| Last updated | July 30, 2009 |
| Authorized official | Charline Brandon, Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.