MEDICARE: BETHESDA

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
1	314000000X	Skilled Nursing Facility	326721	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	9539BE	OTHER	MN	BCBS & BLUE PLUS

General Provider Information

NPI Number	:	1174527410
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BETHESDA

Provider Business Mailing Address
First Line	:	901 WILLMAR AVE SE
Second Line	:
City	:	WILLMAR
State	:	MN
Zip	:	56201-4604
Country	:	US
Telephone Number	:	320-235-9532
Fax Number	:	320-235-7909

Provider Business Practice Location Address
First Line	:	901 WILLMAR AVE SE
Second Line	:
City	:	WILLMAR
State	:	MN
Zip	:	56201-4604
Country	:	US
Telephone Number	:	320-235-9532
Fax Number	:	320-235-7909

Authorized Official
Title or Position	:	DIRECTOR OF ACCOUNTING
Name	:	MRS. ALANA SUE ZIEHL
Credential	:
Telephone Number	:	320-235-9532

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	03/23/2010

Similar Medicare Providers

1033113626 — BETHESDA
Practice Location Address:

901 WILLMAR AVE SE
WILLMAR, MN
56201-4604

Practice Phone: 320-235-9532
Practice Fax: 320-235-7909

1790740066 — BETHESDA ADULT DAY
Practice Location Address:

901 WILLMAR AVE SE
WILLMAR, MN
56201-4604

Practice Phone: 320-235-9532
Practice Fax:

1528770781 — BETHESDA
Practice Location Address:

901 WILLMAR AVE SE
WILLMAR, MN
56201-4604

Practice Phone: 320-235-9532
Practice Fax: 320-235-7909

1871368118 — KRISTIN MAXSON
Practice Location Address:

901 WILLMAR AVE SE
WILLMAR, MN
56201-4604

Practice Phone: 320-234-8364
Practice Fax: 320-235-6968

1871463315 — HALLOWSTONE WILLMAR OPERATING LLC
Practice Location Address:

1501 19TH AVE SW
WILLMAR, MN
56201-4940

Practice Phone: 239-292-1513
Practice Fax:

1093436941 — MISTY NELSON LICSW, LADC
Practice Location Address:

1809 19TH AVE SW
WILLMAR, MN
56201-4946

Practice Phone: 320-441-7000
Practice Fax: 320-441-7005

Directions to “BETHESDA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.