BETHEL HILLS CLINIC PLLC
NPI 1578104154
Clinic/Center - Multi-Specialty in Phoenix, AZ

Q: What is Bethel Hills Clinic PLLC's NPI number?

The NPI number for Bethel Hills Clinic PLLC is 1578104154. It was assigned to this organization in the NPPES registry on October 4, 2019.

Q: What is Bethel Hills Clinic PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since October 04, 2019

13838 S 46TH PL STE 340, PHOENIX, AZ 85044(832) 542-3181 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2022, Nov 12, 2021, Mar 27, 2020 and 1 more (4 updates tracked since 2019).

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About Bethel Hills Clinic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETHEL HILLS CLINIC PLLC (NPI 1578104154) is a healthcare organization registered as a multi-specialty in Phoenix, Arizona and active in the NPI registry since October 2019. The organization maintains 4 additional practice locations and lists Olubukola Komolafe, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1578104154

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameBETHEL HILLS CLINIC PLLC

Location Address13838 S 46TH PL STE 340Phoenix, AZ 85044-7805

Mailing AddressPo Box 2251Scottsdale, AZ 85252-2251

Phone(832) 542-3181

Organization SubpartNo

Authorized OfficialOlubukola KomolafeMedical Director · (832) 542-3181

Enumeration DateOctober 4, 2019

Last NPPES UpdateMarch 29, 20224 updates tracked since enumeration

NPPES CertifiedMarch 29, 2022

✔ NPI 1578104154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/CenterTaxonomy 261Q00000X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

13838 S 46TH PL STE 340, Phoenix, AZ 85044

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Secondary Practice Locations 4

Location 1400 Union Ave SE Ste 200Olympia, WA 98501-2060 · Phone (360) 394-6039 · Fax (360) 394-6039

Location 2650 NE Holladay St Ste 1600Portland, OR 97232-2035 · Phone (503) 766-6537 · Fax (503) 766-6537

Location 31810 E Sahara Ave Ste 100Las Vegas, NV 89104-3707 · Phone (702) 530-4531 · Fax (702) 660-7123

Location 44446 E Des MoinesMesa, AZ 85205-8520 · Phone (832) 542-3181

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLUBUKOLA KOMOLAFE NURSE PRACTITIONER

Nurse Practitioner (Psychiatric/Mental Health)