BETHANY CHRISTIAN SERVICES – NPI #1295175065
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

BETHANY CHRISTIAN SERVICES is a substance abuse rehabilitation facility located in OCONOMOWOC, WI. NPPES has assigned the NPI number 1295175065 to BETHANY CHRISTIAN SERVICES on June 26, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 5 years ago on Jul 12, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BETHANY CHRISTIAN SERVICES below.

NPI Profile for
BETHANY CHRISTIAN SERVICES

NPI Number
1295175065
Enumeration Date

(about 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BETHANY CHRISTIAN SERVICES
Primary location
1331 CAPITOL DR
OCONOMOWOC, WI 53066-5705
Phone: (262) 547-6557 Fax: (262) 547-3644
1 Other location(s):
N14W23755 Stone Ridge Dr
#265
Waukesha, WI 53188-1147
Phone: (262) 547-6557
Fax: (262) 547-3644
Mailing address
Same as primary location
Organization Subpart
Yes - BETHANY CHRISTIAN SERVICES is subpart of another organization.
Authorized Official
LISA STOUTMEYER
BILLER
Phone: (616) 224-7429
Updated
Certification Date
Jul 12, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
104100000X
- Social Worker
WI 205-121

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.