NPI 1174527410 · live from the CMS NPI Registry
Bethesda
Skilled Nursing Facility in Willmar, MN. National Provider Identifier 1174527410, active.
NPI record
| NPI | 1174527410 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 901 Willmar Ave Se, Willmar, MN 56201 |
| Practice phone | 320-235-9532 |
| Enumerated | June 1, 2005 |
| Last updated | March 23, 2010 |
| Authorized official | Alana Ziehl, Director Of Accounting |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | 326721 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.