Organization
BETHANY-ST JOSEPH CORPORATION
Active
Other names
ONALASKA CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY GOCHANOUR (CEO)
(608) 788-5700
Entity
Organization
Contact information
Practice address
1600 MAIN ST, ONALASKA, WI 54650-2838
(608) 783-4681
(608) 781-8148
Mailing address
1600 MAIN ST, ONALASKA, WI 54650-2838
(608) 783-4681
(608) 781-8148
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3160
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20184700
—
WI
Enumeration date
08/25/2005
Last updated
12/06/2024
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