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BETHANY CHRISTIAN SERVCIES OF CA
NPI 1306624283
Clinic/Center - Multi-Specialty in Modesto, CA

Active since September 20, 2023
3048 HAHN DR, MODESTO, CA 95350(209) 522-5121(209) 522-4045 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Multi-Specialty

About BETHANY CHRISTIAN SERVCIES OF CA

This page provides the complete NPI Profile along with additional information for Bethany Christian Servcies Of Ca, a provider established in Modesto, California operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1306624283 assigned on September 2023. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Lisa Stoutmeyer (Biller)

NPI
1306624283 Verify this NPI
Provider Name
BETHANY CHRISTIAN SERVCIES OF CA
Entity Type
Organization
Location Address
3048 HAHN DR MODESTO, CA 95350
Location Phone
(209) 522-5121
Location Fax
(209) 522-4045
Mailing Address
3048 HAHN DR MODESTO, CA 95350
Mailing Phone
(209) 522-5121
Mailing Fax
(209) 522-4045
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-20-2023
Last Update Date
09-20-2023
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LISA STOUTMEYER

Authorized Official Title
BILLER
Authorized Official Phone
(616) 224-7429

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Frequently Asked Questions

What is BETHANY CHRISTIAN SERVCIES OF CA's NPI number?

The NPI number assigned to this healthcare provider is 1306624283, enumerated as an "organization" on September 20, 2023.

Where is the provider located?

The provider is located at 3048 HAHN DR MODESTO, CA 95350 and the phone number is (209) 522-5121.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.