Organization
BETHESDA OF BERESFORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA LAMBERT (BILLING SPECIALIST)
(605) 763-2050
Entity
Organization
Contact information
Practice address
606 W CEDAR ST, BERESFORD, SD 57004-1125
(605) 763-2050
(605) 763-2063
Mailing address
606 W CEDAR ST, BERESFORD, SD 57004-1125
(605) 763-2050
(605) 763-2063
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10595
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150420
—
SD
Enumeration date
09/01/2005
Last updated
08/22/2020
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