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1568700243 NPI number — BETHANY CHRISTIAN SERVICES

NPI Number: 1568700243
Health Care Provider/Practitioner: BETHANY CHRISTIAN SERVICES

Information about “1568700243” NPI (BETHANY CHRISTIAN SERVICES) exists in 1568700243 in HTML format HTML  |  1568700243 in plain Text format TXT  |  1568700243 in PDF (Portable Document Format) PDF  |  1568700243 in an XML format XML  formats.

NPI Number : 1568700243 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1568700243",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BETHANY CHRISTIAN SERVICES",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2101 N FRONT ST",
    "SecondLineMailingAddress": "BUILDING #1 SUITE 201",
    "MailingAddressCityName": "HARRISBURG",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "17110-1086",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "717-238-3549",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2101 N FRONT ST",
    "SecondLinePracticeLocationAddress": "BUILDING #1 SUITE 201",
    "PracticeLocationAddressCityName": "HARRISBURG",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "17110-1086",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "717-238-3549",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/30/2013",
    "LastUpdateDate": "02/05/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SHENK",
    "AuthorizedOfficialFirstName": "ELAINE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "SATELLITE OFFICE BRANCH DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MS",
    "AuthorizedOfficialTelephoneNumber": "717-238-3549",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251B00000X",
          "TaxonomyName": "Case Management Agency",
          "LicenseNumber": "SW129195",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "253J00000X",
          "TaxonomyName": "Foster Care Agency",
          "LicenseNumber": "SW129195",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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