Organization
BETHANY CHRISTIAN SERVCIES OF CA
Active
Organization
BETHANY CHRISTIAN SERVCIES OF CA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA STOUTMEYER (BILLER)
(616) 224-7429
Entity
Organization
Contact information
Practice address
3048 HAHN DR, MODESTO, CA 95350-6503
(209) 522-5121
(209) 522-4045
Mailing address
3048 HAHN DR, MODESTO, CA 95350-6503
(209) 522-5121
(209) 522-4045
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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