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Contact Information

BETHESDA LONG TERM CARE, INC.
4431 SOUTH BROADWAY
SAINT LOUIS, MO63111
 Phone: 314-481-4840
 Fax: 314-481-1014
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Custodial Care Facility

311Z00000X
Indicates primary specialty

NPI Profile & details for BETHESDA LONG TERM CARE, INC.

NPI # 1073673828
LBN Legal business name BETHESDA LONG TERM CARE, INC.
Authorized official JOSEPH BRINKER - (EXECUTIVE VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/11/2006
Last updated 01/24/2012 - About 14 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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