Organization
BETHANY WOMENS HEALTHCARE, P.C.
Active
Organization
BETHANY WOMENS HEALTHCARE, P.C.
Active
Other names
Bethany Birth Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA CASEBOLT CCS-P (PRACTICE ADMINISTRATOR)
(602) 973-3200
Entity
Organization
Contact information
Practice address
3660 W BETHANY HOME RD, SUITE B, PHOENIX, AZ 85019-1953
(602) 973-3200
(602) 973-0508
Mailing address
3660 W BETHANY HOME RD, SUITE B, PHOENIX, AZ 85019-1953
(602) 973-3200
(602) 973-0508
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
OTC0777
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320151
—
AZ
01
—
621484
AETNA
AZ
05
—
68-80013
—
AZ
01
—
AZ0203330
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
09/11/2006
Last updated
08/22/2020
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