Organization
SAMARITAN BETHANY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KYLA BERG (CO-MISSION LEADER)
(507) 289-5042
Entity
Organization
Contact information
Practice address
24 8TH ST NW, ROCHESTER, MN 55901-6817
(507) 289-5042
(507) 289-6545
Mailing address
24 8TH ST NW, ROCHESTER, MN 55901-6817
(507) 289-5042
(507) 289-6545
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
851863200
—
MN
01
—
8782SA
BC/BS
MN
Enumeration date
07/21/2006
Last updated
07/02/2025
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