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NPI Code Detail

MEDICARE: SAMARITAN BETHANY INC

MEDICARE: SAMARITAN BETHANY INC
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
1314000000XSkilled Nursing Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28782SAOTHERMNBC/BS

General Provider Information

NPI Number : 1467473272
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAMARITAN BETHANY INC
Provider Business Mailing Address
First Line : 24 8TH ST NW
Second Line :
City : ROCHESTER
State : MN
Zip : 55901-6817
Country : US
Telephone Number : 507-289-5042
Fax Number : 507-289-6545
Provider Business Practice Location Address
First Line : 24 8TH ST NW
Second Line :
City : ROCHESTER
State : MN
Zip : 55901-6817
Country : US
Telephone Number : 507-289-5042
Fax Number : 507-289-6545
Authorized Official
Title or Position : CO-MISSION LEADER
Name : MRS. KYLA BERG
Credential :
Telephone Number : 507-289-5042
Provider Enumeration Date : 07/21/2006
Last Update Date : 07/02/2025

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Directions to “SAMARITAN BETHANY INC ” Practice Location

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