# BERTRAND NURSING HOME

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

## Provider details

- **NPI number:** 1659412047
- **Authorized official:** RUTH A. HOFFMAN N.H.A. (ADMINISTRATOR)
- **Authorized official phone:** (308) 472-3341

## Contact information

- **Practice address:** 100 MINOR AVE, BERTRAND, NE 68927-9546
- **Practice address phone:** (308) 472-3341
- **Practice address fax:** (308) 472-3284
- **Mailing address:** PO BOX 97, 100 MINOR AVENUE, BERTRAND, NE 68927-0097
- **Mailing address phone:** (308) 472-3341
- **Mailing address fax:** (308) 472-3284

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | ALF009 | NE | — |
| 314000000X | Skilled Nursing Facility | 614001 | NE | Yes |

## Other

- **Enumeration date:** 02/09/2007
- **Last updated:** 05/12/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00741 | BLUE CROSS BLUE SHIELD | NE |
| 01 | — | 10025441400 | HOSPICE | NE |
| 01 | — | 5341340001 | MEICARE DMERC | NE |
| 05 | — | ALF009 | — | NE |
