Provider Demographics
NPI:1447535547
Name:BETHEL HEALTH CENTER
Entity type:Organization
Organization Name:BETHEL HEALTH CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANNEMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HIRSCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-607-1430
Mailing Address - Street 1:1525 ECHO HOLLOW RD
Mailing Address - Street 2:STE A
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-5801
Mailing Address - Country:US
Mailing Address - Phone:541-607-1430
Mailing Address - Fax:541-607-1429
Practice Address - Street 1:1525 ECHO HOLLOW RD
Practice Address - Street 2:STE A
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-5801
Practice Address - Country:US
Practice Address - Phone:541-607-1430
Practice Address - Fax:541-607-1429
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LANE COUNTY SCHOOL DISTRICT #52
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-10-20
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health