Organization
BETHESDA
Active
Other names
Bethesda Heritage Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALANA SUE ZIEHL (OFFICE MANAGER)
(320) 235-9532
Entity
Organization
Contact information
Practice address
1012 3RD ST SE, WILLMAR, MN 56201-4554
(320) 235-3924
(320) 231-3399
Mailing address
1012 3RD ST SE, WILLMAR, MN 56201-4554
(320) 235-3924
(320) 231-3399
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
327806
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
803742600
—
MN
01
—
8658BE
BLUE PLUS & BCBS
MN
Enumeration date
06/02/2005
Last updated
10/24/2011
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