BETHESDA
Skilled Nursing Facility
Willmar, Minnesota
Provider NPI: 1174527410
Organization Information:Organization Name: BETHESDA
Practice Location:
901 WILLMAR AVE SE WILLMAR, MN 56201 US
Tel: 320-235-9532 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:
901 WILLMAR AVE SE WILLMAR, MN 56201 US
Tel: 320-235-9532 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | MN | 326721 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
516240800 | MN | 05 | |
BCBS & BLUE PLUS | 9539BE | MN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin