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BETHESDA , NPI 1174527410

Skilled Nursing Facility in WILLMAR, MN

Last Updated on : Mar 23,2010

About BETHESDA (NPI 1174527410)


BETHESDA is a Skilled Nursing Facility in WILLMAR, United States

1174527410 is NPI number of BETHESDA.

BETHESDA's primary taxonomy code based on NPI Lookup is 314000000X with license number 326721. This taxonomy code refers to Skilled Nursing Facility.

BETHESDA current practice location address is 901 WILLMAR AVE SE, WILLMAR, MN. BETHESDA can be reached out via phone at 320-235-9532 and via fax at 320-235-7909 .

You can also correspond with BETHESDA through mail at mailing address 901 WILLMAR AVE SE, WILLMAR, MN, United States. Mailing address contact number is 320-235-9532.

The enumeration date of BETHESDA is 01-Jun-2005. The provider is registered as an Organization and the NPI record was last updated 12 years ago.

The authorized official of BETHESDA is Alana Ziehl (Director of Accounting). Alana Ziehl can be reached at 3202359532.

1174527410 NPI Information

Name BETHESDA
National Provider Id (NPI) 1174527410
Entity Type Organization
Practice Address 901 WILLMAR AVE SE,
WILLMAR, MN, United States
Practice Telephone 320-235-9532
Practice Fax Number 320-235-7909
Mailing Address 901 WILLMAR AVE SE ,
WILLMAR, MN, United States
Mailing Telephone 320-235-9532
Mailing Fax Number 320-235-7909
Enumeration Date 01-Jun-2005
Last Updated Date 23-Mar-2010

BETHESDA (NPI 1174527410) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 314000000X Skilled Nursing Facility 326721 MN

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
245427 MEDICARE ID-Type Unspecified (04) MN
516240800 MEDICAID (05) MN
9539BE Other (non-Medicare) (01) MN BCBS & Blue Plus

BETHESDA (NPI 1174527410) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1457990855 SALLIE GRAVES Behavior Technician 1604 1ST ST S STE 120,
WILLMAR, MN, United States
02-Jan-2020
1376521021 ANDREW P CHANG Psychiatry & Neurology, Neurology 101 WILLMAR AVE SW,
WILLMAR, MN, United States
04-Jan-2006
1851864789 LISA MARIE KUECHENMEISTER Counselor, Mental Health 2320 HIGHWAY 12 E STE 2,
WILLMAR, MN, United States
03-Jan-2019
1003894593 JAMES ELIAS BECKER Psychiatry & Neurology, Psychiatry 1550 HWY 71 NE, WILLMAR REGIONAL TREATMENT CENTER
WILLMAR, MN, United States
04-Jan-2006
1215915715 MARVIN RUDOLPH NAPGEZEK Internal Medicine 1550 HIGHWAY 71 NE, WILLMAR REGIONAL TREATMENT CENTER
WILLMAR, MN, United States
04-Jan-2006
1801874342 RICHARD LEROY KOKKILA Psychiatry & Neurology, Psychiatry 1208 OLENA AVENUE SE, WILLMAR REGIONAL TREATMENT CENTER
WILLMAR, MN, United States
05-Jan-2006
1386622876 WILLMAR REGIONAL TREATMENT CENTER Psychiatric Hospital 1550 HIGHWAY 71 NE,
WILLMAR, MN, United States
04-Jan-2006
1265410666 MARGRETTA KRAY Nurse Practitioner, Adult Health 1550 HIGHWAY 71 NE,
WILLMAR, MN, United States
05-Jan-2006
1326026733 KRISTEL MARLENA HART Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent 1770 1ST ST N,
WILLMAR, MN, United States
05-Jan-2006
1487632899 DOUGLAS GRAHAM KNIGHT Family Medicine 1550 HIGHWAY 71 NE,
WILLMAR, MN, United States
05-Jan-2006
1871571174 ROBERT DOANE WASSON Preventive Medicine, Aerospace Medicine 1550 HIGHWAY 71 NE,
WILLMAR, MN, United States
06-Jan-2006
1588642888 ALLAN HEINO VALGEMAE Psychiatry & Neurology, Psychiatry 1550 HIGHWAY 71 NE,
WILLMAR, MN, United States
06-Jan-2006
1619955077 GULSHAN K SINGH Pediatrics 1550 HIGHWAY 71 NE,
WILLMAR, MN, United States
05-Jan-2006
1770630295 MATTHEW SCOTT REINERTSON Specialist/Technologist, Athletic Trainer 111 17TH AVE E, SUITE 101
ALEXANDRIA, MN, United States
05-Jan-2007
1003963521 PAUL JON RICE Technician, Personal Care Attendant 1306 LINCOLN AVE,
MONTEVIDEO, MN, United States
05-Jan-2007
1407903933 MICHELLE LYNN BONNEMA Specialist/Technologist, Other, Surgical Technologist 101 WILLMAR AVE SW, ACMC
WILLMAR, MN, United States
05-Jan-2007
1942446455 DIANN SOMODY Pharmacist 1300 5TH ST SE,
WILLMAR, MN, United States
05-Jan-2009
1740268069 FRANCIS D KOSS Psychiatry & Neurology, Psychiatry 1550 HIGHWAY 71 NE,
WILLMAR, MN, United States
06-Jan-2006
1427036573 FREDERICK W HUND Internal Medicine 101 WILLMAR AVE SW, AFFILIATED COMMUNITY MEDICAL CENTERES
WILLMAR, MN, United States
07-Jan-2006
1437453370 LYNDSY SPENCER Occupational Therapist 2120 60TH AVE NE,
WILLMAR, MN, United States
07-Jan-2011

FAQs

Whose NPI Number is 1174527410?

1174527410 is the NPI number of BETHESDA.

Where is BETHESDA located?

BETHESDA is located at 901 WILLMAR AVE SE, WILLMAR, MN.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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