# BETHEL LUTHERAN NURSING & REHABILITATION CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306830427
- **Authorized official:** KURT STONER (ADMINISTRATOR)
- **Authorized official phone:** (701) 572-6766

## Contact information

- **Practice address:** 1515 2ND AVE W, WILLISTON, ND 58801-4108
- **Practice address phone:** (701) 572-6766
- **Practice address fax:** (701) 572-7579
- **Mailing address:** 1515 2ND AVE W, WILLISTON, ND 58801-4108
- **Mailing address phone:** (701) 572-6766
- **Mailing address fax:** (701) 572-7579

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1058A | ND | Yes |

## Other

- **Enumeration date:** 09/02/2005
- **Last updated:** 03/04/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 036675001 | DME-POS SUPPLIER | ND |
| 05 | — | 30038 | — | ND |