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NPI Code Detail

MEDICARE: BETHESDA FOUNDATION

MEDICARE: BETHESDA FOUNDATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310400000XAssisted Living FacilityAL0675CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902946734
Entity Type Code : Organization
Provider Name (Legal Business Name) : BETHESDA FOUNDATION
Provider Business Mailing Address
First Line : 5055 S LEMAY AVE
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-9401
Country : US
Telephone Number : 970-223-3552
Fax Number : 970-223-2360
Provider Business Practice Location Address
First Line : 5055 S LEMAY AVE
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-9401
Country : US
Telephone Number : 970-223-3552
Fax Number : 970-223-2360
Authorized Official
Title or Position : SR. VICE PRESIDENT
Name : JULIE CALLENDER
Credential :
Telephone Number : 719-481-5481
Provider Enumeration Date : 02/08/2007
Last Update Date : 08/22/2020

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Directions to “BETHESDA FOUNDATION ” Practice Location

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