Organization
BETHANY-ST JOSEPH CORPORATION
Active
Other names
BETHANY ST. JOSEPH CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY GOCHANOUR (CEO)
(608) 788-5700
Entity
Organization
Contact information
Practice address
2501 SHELBY RD, LA CROSSE, WI 54601-8037
(608) 788-5700
(608) 788-4030
Mailing address
2501 SHELBY RD, LA CROSSE, WI 54601-8037
(608) 788-5700
(608) 788-4030
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2540
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20141100
—
WI
Enumeration date
08/25/2005
Last updated
12/06/2024
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