| Bethany Medical Center | |
|
3605 Peters Ct High Point NC 27265 | |
| (336) 883-0029 | |
| (336) 883-0867 |
| Full Name | Bethany Medical Center |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3605 Peters Ct, High Point, North Carolina |
| Authorized Official Name and Position | Lenin J Peters (CEO) |
| Authorized Official Contact | 3368830029 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany Medical Center 507 N Lindsay St High Point NC 27262-4303 Ph: (336) 883-0029 | Bethany Medical Center 3605 Peters Ct High Point NC 27265 Ph: (336) 883-0029 |
| NPI Number | 1780015842 |
|---|---|
| Provider Enumeration Date | 11/27/2013 |
| Last Update Date | 12/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780015842 | NPI | - | NPPES |
| 89011F1 | Medicaid | NC | |
| 7901101 | Medicaid | NC | |
| 3409940 | Medicaid | NC | |
| 5907644 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 2013-02261 (North Carolina) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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