NPIMap

Organization Active NPI

Bethesda

  • Skilled Nursing Facility
  • Willmar, MN
National Provider Identifier
1174527410
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
326721 Issued in MN
Legal business name
BETHESDA
Practice address
901 Willmar Ave SE
Willmar, MN 56201-4604
Phone
(320) 235-9532
Fax
(320) 235-7909
NPI assigned
Jun 1, 2005
Last updated
Mar 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Alana Sue Ziehl
Title
Director of Accounting
Phone
(320) 235-9532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 326721 MN Primary

Addresses

Primary practice location

901 Willmar Ave SE
Willmar, MN 56201-4604

Mailing address

901 Willmar Ave SE
Willmar, MN 56201-4604
Phone (320) 235-9532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100322000590 MN Part A Provider - Skilled Nursing Facility 5597675116 Practice locations: Willmar, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174527410. Details of each certification follow.

Skilled nursing facility certification: CCN 245427

Legal name
BETHESDA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 1, 1987
Last certification
Oct 25, 2024
Beds
248
Ownership / control type
Church Related
Organization structure
CorporationNon-profit
Incorporated
Sep 10, 1897 in MN
Enrollment address
901 Willmar Ave SE
Willmar, MN 56201-4604
Nursing home name
BETHESDA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • Bethesda

    dba Bethesda Home Health

    • Home Health Agency
    • Willmar, MN
    • NPI 1033113626

    5597675116

    Same PAC ID
  • Bethesda

    dba Bethesda Hospice

    • Community Based Hospice Care Agency
    • Willmar, MN
    • NPI 1528770781

    5597675116

    Same PAC ID

Care Compare: Nursing home

Medicare Care Compare
Listed as
BethesdaCCN 245427 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Church related
Certified
Feb 1, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
248225.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Bethesda Heritage Center8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

901 Willmar Ave SE
Willmar, MN 56201
Phone (320) 214-5643

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Samuel W Quam Individual Corporate OfficerVice President of Operations Jan 25, 2022
Betty Strehlow Individual Corporate OfficerBoard Member Oct 1, 2022
Cheryl Pool Individual Corporate OfficerBoard Secretary Oct 1, 2017
Alan J Roiseland Individual Operational/Managerial Control Jan 1, 2019
Adp of the SNF Jul 18, 2025
Cheryl Johnson Individual Corporate DirectorBoard Member Oct 1, 2022
Dean Johnson Individual Corporate DirectorBoard Member Oct 1, 2021
Luther Dykema Individual Corporate OfficerBoard Treasurer Oct 1, 2020
Baillee Krieger Individual Operational/Managerial Control Apr 3, 2023
Adp of the SNF Jul 18, 2025
Karen Tusha-Mohlin Individual Corporate DirectorBoard Member Oct 1, 2020
David P Gehant Individual Corporate DirectorBoard Member Oct 1, 2021
Julie Kveene Individual Corporate DirectorBoard Member Oct 1, 2020
Michael Gilson Individual Corporate DirectorBoard Member Oct 1, 2021
Joan M Blonigan-Christianson Individual Corporate DirectorBoard Member Oct 1, 2019
Tamala Gjerde Individual Corporate OfficerFinance Director Jan 3, 2023
Michelle R Haefner Individual Corporate OfficerCeo Nov 3, 2008
Roger Ahrenholz Individual Corporate OfficerBoard President Oct 1, 2019
Myron Behm Individual Corporate OfficerBoard Vice President Oct 1, 2017

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 28

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 28

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1174527410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WILLMAR AVE SE",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014604",
            "telephone_number": "320-235-9532",
            "fax_number": "320-235-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WILLMAR AVE SE",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014604",
            "telephone_number": "320-235-9532",
            "fax_number": "320-235-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "ZIEHL",
        "authorized_official_first_name": "ALANA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "DIRECTOR OF ACCOUNTING",
        "authorized_official_telephone_number": "320-235-9532",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "326721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willmar, MN

Sources for this page

Verify at the official NPI Registry.