Organization
BETHEL LUTHERAN NURSING & REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KURT STONER (ADMINISTRATOR)
(701) 572-6766
Entity
Organization
Contact information
Practice address
1515 2ND AVE W, WILLISTON, ND 58801-4108
(701) 572-6766
(701) 572-7579
Mailing address
1515 2ND AVE W, WILLISTON, ND 58801-4108
(701) 572-6766
(701) 572-7579
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1058A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036675001
DME-POS SUPPLIER
ND
05
—
30038
—
ND
Enumeration date
09/02/2005
Last updated
03/04/2015
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