Bethesda Southgate

LBN: Bethesda Long Term Care, Inc.
Bethesda Southgate is an health care organization with primary practice located at 5943 Telegraph Rd , Saint Louis MO 63129-4715. 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. Bethesda Long Term Care, Inc. can be contacted via phone (314) 846-2000, or through Brinker, Joseph J via phone (314) 800-1988.

Contact Information

Primary practice address
5943 Telegraph Rd Saint Louis MO 63129-4715
Phone: (314) 846-2000
Fax: (314) 846-4661
Website:
Map and Directions
Authorized official contact:
Name: Brinker, Joseph J
Phone: (314) 800-1988

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 032167 Missouri

Profile Details

NPI number 1750357950
LBN Legal business name Bethesda Long Term Care, Inc.
DBA Doing business as Bethesda Southgate
Authorized official Brinker, Joseph J
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2006
Last updated Jan 24th, 2012 - about 12 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 1750357950 NPPES
Missouri MEDICAID 101496206

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