| Bethany Christian Servcies Of Ca | |
|
3048 Hahn Dr Modesto CA 95350-6503 | |
| (209) 522-5121 | |
| (209) 522-4045 |
| Full Name | Bethany Christian Servcies Of Ca |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3048 Hahn Dr, Modesto, California |
| Authorized Official Name and Position | Lisa Stoutmeyer (BILLER) |
| Authorized Official Contact | 6162247429 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany Christian Servcies Of Ca 3048 Hahn Dr Modesto CA 95350-6503 Ph: (209) 522-5121 | Bethany Christian Servcies Of Ca 3048 Hahn Dr Modesto CA 95350-6503 Ph: (209) 522-5121 |
| NPI Number | 1306624283 |
|---|---|
| Provider Enumeration Date | 09/20/2023 |
| Last Update Date | 09/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306624283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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