Bethesda
Organization Active NPI Skilled Nursing Facility · Willmar, MN
NPI 1174527410 · NPPES record last updated Mar 23, 2010
Key facts
- NPI
- 1174527410
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 326721 (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
- Organization subpart
- No
Authorized official
- Name
- Mrs. Alana Sue Ziehl
- Title
- Director of Accounting
- Phone
- (320) 235-9532
Owners & managing parties with NPI records 1
-
Alan J Roiseland, M.D.
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 7
Practitioners 10
-
Dexter Runa Casta, M.D.
-
Anna R. Fuglestad, M.D.
-
Lee M Haggenjos, MD
-
Sarah F Pattison, PA-C
-
Shelly M Staska, MD
-
Jayme L. Vanbeek, D.O.
Affiliated clinicians 28
-
Anthony G Amon, M.D.
-
Mary M Amon, M.D.
-
Kristel L Arcilla, D.O.
-
Kendall S Bos, MD
-
Dexter Runa Casta, M.D.
-
Ryan R. Davis, D.O.
-
Shawn E Dischinger, P.A.-C
-
Anna R. Fuglestad, M.D.
-
Lee M Haggenjos, MD
-
Andrew A Hoffmann, M.D.
-
Sakshi Kaul, M.D.
-
Jessica Jo Martinez, FNP
-
Timothy S Mulder, M.D.
-
Sarah F Pattison, PA-C
-
Alan J Roiseland, M.D.
-
John P Skretvedt, MD
-
Nathaniel Slinkard, M.D.
-
Shelly M Staska, MD
-
Rachel L Tollefsrud, M.D.
-
Jayme L. Vanbeek, D.O.
Medicare Care Compare: Nursing home
- Listed as
- Bethesda
- 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
- Active
- Certified beds
- 248 · 225.9 residents per day on average
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
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
- Corporation · Non-profit
- Incorporated
- Sep 10, 1897 in MN
- Enrollment address
- 901 Willmar Ave SE
Willmar, MN 56201-4604 - Nursing home name
- BETHESDA
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Samuel W Quam |
Corporate Officer |
Jan 25, 2022 | |
| Betty Strehlow |
Corporate Officer |
Oct 1, 2022 | |
| Cheryl Pool |
Corporate Officer |
Oct 1, 2017 | |
| Alan J Roiseland |
Operational/Managerial Control | Jan 1, 2019 | |
| Adp of the SNF | Jul 18, 2025 | ||
| Cheryl Johnson |
Corporate Director |
Oct 1, 2022 | |
| Dean Johnson |
Corporate Director |
Oct 1, 2021 | |
| Luther Dykema |
Corporate Officer |
Oct 1, 2020 | |
| Baillee Krieger |
Operational/Managerial Control | Apr 3, 2023 | |
| Adp of the SNF | Jul 18, 2025 | ||
| Karen Tusha-Mohlin |
Corporate Director |
Oct 1, 2020 | |
| David P Gehant |
Corporate Director |
Oct 1, 2021 | |
| Julie Kveene |
Corporate Director |
Oct 1, 2020 | |
| Michael Gilson |
Corporate Director |
Oct 1, 2021 | |
| Joan M Blonigan-Christianson |
Corporate Director |
Oct 1, 2019 | |
| Tamala Gjerde |
Corporate Officer |
Jan 3, 2023 | |
| Michelle R Haefner |
Corporate Officer |
Nov 3, 2008 | |
| Roger Ahrenholz |
Corporate Officer |
Oct 1, 2019 | |
| Myron Behm |
Corporate Officer |
Oct 1, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100322000590 | MN | Part a Provider - Skilled Nursing Facility | 5597675116 | Practice locations: Willmar, MN |
National Provider Directory
- Tax ID family
- Bethesda Adult Day
Locations
901 Willmar Ave SE
Willmar, MN 56201
Phone (320) 214-5643
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 326721 | MN | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 516240800 | Medicaid | MN | |
| 9539BE | Other | MN | BCBS & BLUE PLUS |
Other providers in Willmar, MN
- Whitney Berg
- Kirstin Ulla Bergman
- Lynn Marie Bergren
- Eve Charity Berryhill
- Bethesda
- Bethesda
- Bethesda
- Bethesda Adult Day
- Bethesda Heritage Center
- Angela L Beyerl
All providers in Willmar, MN · Skilled Nursing Facility in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.