Provider Demographics
NPI:1033497078
Name:BETHESDA FOUNDATION, INC.
Entity Type:Organization
Organization Name:BETHESDA FOUNDATION, INC.
Other - Org Name:QUIETWATERS MINISTRIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHLOTTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-639-9066
Mailing Address - Street 1:9185 E KENYON AVE
Mailing Address - Street 2:STE 150
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-1822
Mailing Address - Country:US
Mailing Address - Phone:303-639-9066
Mailing Address - Fax:303-300-6773
Practice Address - Street 1:8000 E PONDEROSA DR
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-8268
Practice Address - Country:US
Practice Address - Phone:303-639-9066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-25
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)