BETHESDA
Skilled Nursing Facility
Willmar, Minnesota
Provider NPI: 1427050525
Organization Information:Organization Name: BETHESDA
Practice Location:
1012 3RD ST SE WILLMAR, MN 56201 US
Tel: 320-235-3924 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1012 3RD ST SE WILLMAR, MN 56201 US
Tel: 320-235-3924 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | MN | 327806 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
803742600 | MN | 05 | |
BLUE PLUS & BCBS | 8658BE | MN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin