BEULAH COMMUNITY NURSING HOME
Skilled Nursing Facility
Beulah, North Dakota
Provider NPI: 1740283860
Organization Information:Organization Name: BEULAH COMMUNITY NURSING HOME
Practice Location:
118 22ND ST NE BEULAH, ND 58523 US
Tel: 701-873-4322 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:
118 22ND ST NE BEULAH, ND 58523 US
Tel: 701-873-4322 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | ND | 1002A |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
000030002 | ND | 05 | |
NPI | 1740283860 | ND | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin