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NPI Code Detail

MEDICARE: BETHEL HILLS INTEGRATED HEALTHCARE

MEDICARE: BETHEL HILLS INTEGRATED HEALTHCARE
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
1251300000XLocal Education Agency (LEA)
2251B00000XCase Management Agency
3251E00000XHome Health Agency
4251G00000XCommunity Based Hospice Care Agency
5251K00000XPublic Health or Welfare Agency
6251T00000XPACE Provider Organization
7252Y00000XEarly Intervention Provider Agency
8251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1962155739
Entity Type Code : Organization
Provider Name (Legal Business Name) : BETHEL HILLS INTEGRATED HEALTHCARE
Provider Business Mailing Address
First Line : 13838 S 46TH PL STE 340
Second Line :
City : PHOENIX
State : AZ
Zip : 85044-7805
Country : US
Telephone Number : 480-597-7903
Fax Number : 480-597-7904
Provider Business Practice Location Address
First Line : 13838 S 46TH PL STE 340
Second Line :
City : PHOENIX
State : AZ
Zip : 85044-7805
Country : US
Telephone Number : 480-597-7903
Fax Number : 480-597-7904
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : OLUBUKOLA KOMOLAFE
Credential :
Telephone Number : 832-542-3181
Provider Enumeration Date : 02/01/2022
Last Update Date : 02/01/2022

Similar Medicare Providers

1134628738 — OLUBUKOLA KOMOLAFE NURSE PRACTITIONER
Practice Location Address:
13838 S 46TH PL STE 340
PHOENIX, AZ
85044-7805
Practice Phone: 832-542-3181
Practice Fax:
1578104154 — BETHEL HILLS CLINIC PLLC
Practice Location Address:
13838 S 46TH PL STE 340
PHOENIX, AZ
85044-7805
Practice Phone: 832-542-3181
Practice Fax:
1902491699 — BETHEL HILLS INTEGRATED HEALTHCARE PLLC
Practice Location Address:
13838 S 46TH PL STE 340
PHOENIX, AZ
85044-7805
Practice Phone: 832-542-3181
Practice Fax:
1174280549 — IBUKUN AJOKE FAGBUYI PMHNP
Practice Location Address:
13838 S 46TH PL STE 340
PHOENIX, AZ
85044-7805
Practice Phone: 480-597-7903
Practice Fax:
1215698642 — BETHEL HILLS INTEGRATED HEALTHCARE
Practice Location Address:
13838 S 46TH PL STE 340
PHOENIX, AZ
85044-7805
Practice Phone: 480-597-7903
Practice Fax: 480-597-7903
1033078894 — DR. KIMBERLY SWINSON-MOLLICA DPT
Practice Location Address:
1010 E BETH DR
PHOENIX, AZ
85042-7805
Practice Phone: 217-685-1457
Practice Fax:

Directions to “BETHEL HILLS INTEGRATED HEALTHCARE ” Practice Location

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