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Contact Information

BETHEL BUSINESS LLC
311 S NEVADA AVE
COLORADO SPRINGS, CO80903-2107
 Phone: 719-634-5541
 Fax: 719-634-0692
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BETHEL BUSINESS LLC

NPI Number 1568483519
LBN Legal business name BETHEL BUSINESS LLC
Authorized official LAWRENCE BETHEL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/22/2006
Last updated 02/07/2024 - About 2 years ago
Identifiers
CO License # PDO0240000019
CO Medicaid 03380508
CO Medicaid 64108066
Other 2140939 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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