Bethany On 42Nd

LBN: Bethany On 42Nd
Bethany On 42Nd is an health care organization with primary practice located at 201 University Dr S , Fargo ND 58103-1775. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Bethany On 42Nd can be contacted via phone (701) 239-3000, or through Stuhaug, Shawn via phone (701) 239-3523.

Contact Information

Primary practice address
201 University Dr S Fargo ND 58103-1775
Phone: (701) 239-3000
Fax: (701) 239-3237
Website:
Map and Directions
Authorized official contact:
Name: Stuhaug, Shawn
Phone: (701) 239-3523

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1043451123
LBN Legal business name Bethany On 42Nd
DBA Doing business as
Authorized official Stuhaug, Shawn
Entity Organization
Organization subpart 1 No
Enumeration date Mar 18th, 2009
Last updated Feb 22nd, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043451123 NPPES
Minnesota MEDICAID 1043451123
Minnesota MEDICAID 30492

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