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NPI Code Detail

MEDICARE: BETHESDA HOSPITAL INC.

MEDICARE: BETHESDA HOSPITAL INC.
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
1283X00000XRehabilitation Hospital4452FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023093234
Entity Type Code : Organization
Provider Name (Legal Business Name) : BETHESDA HOSPITAL INC.
Provider Business Mailing Address
First Line : 2815 S SEACREST BLVD
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33435-7934
Country : US
Telephone Number : 561-737-7733
Fax Number : 561-737-4534
Provider Business Practice Location Address
First Line : 2815 S SEACREST BLVD
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33435-7934
Country : US
Telephone Number : 561-737-7733
Fax Number : 561-737-4534
Authorized Official
Title or Position : CEO
Name : JARED SMITH
Credential :
Telephone Number : 561-737-7733
Provider Enumeration Date : 12/09/2005
Last Update Date : 04/24/2023

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Directions to “BETHESDA HOSPITAL INC. ” Practice Location

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