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NPI Code Detail

MEDICARE: BETHANY MHS HEALTH CARE CENTER

MEDICARE: BETHANY MHS HEALTH CARE CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1313M00000XNursing Facility/Intermediate Care Facility200LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871583435
Entity Type Code : Organization
Provider Name (Legal Business Name) : BETHANY MHS HEALTH CARE CENTER
Provider Business Mailing Address
First Line : 406 SAINT JULIEN AVE
Second Line :
City : LAFAYETTE
State : LA
Zip : 70506-4622
Country : US
Telephone Number : 337-234-2459
Fax Number :
Provider Business Practice Location Address
First Line : 406 SAINT JULIEN AVE
Second Line :
City : LAFAYETTE
State : LA
Zip : 70506-4622
Country : US
Telephone Number : 337-234-2459
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. DANNY E JARVIS
Credential : NFA
Telephone Number : 337-234-2459
Provider Enumeration Date : 10/25/2005
Last Update Date : 04/15/2008

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1992328967 — DEBORAH A MURPHY FNP-C
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Directions to “BETHANY MHS HEALTH CARE CENTER ” Practice Location

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