Organization
BETHANY-ST JOSEPH CORPORATION
Active
Parent organization
BETHANY ST. JOSEPH CORPORATION
Other names
Merit Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BETHANY ST. JOSEPH CORPORATION
Authorized official
KIM 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
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
12/06/2024
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