Active NPI
Bethany Towers Basic Care
- Custodial Care Facility
- Fargo, ND
National Provider Identifier
1740418920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Custodial Care Facility
- Legal business name
- BETHANY TOWERS BASIC CARE
- Practice address
- 201 University Dr S
Fargo, ND 58103-1775 - Phone
- (701) 239-3000
- Fax
- (701) 239-3237
- NPI assigned
- Jun 26, 2009
- Last updated
- Jun 26, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Shawn Stuhaug
- Title
- President/Ceo
- Phone
- (701) 239-3523
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | ND | Primary |
Addresses
Primary practice location
201 University Dr S
Fargo, ND 58103-1775
Mailing address
201 University Dr S
Fargo, ND 58103-1775
Phone (701) 239-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30781 | Medicaid | ND |
National Provider Directory
National Provider Directory- Tax ID family
- Bethany Towers Basic Care
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Bethany On University
- Skilled Nursing Facility
- Fargo, ND
- NPI 1114925120
-
dba Bethany on University
- Rehabilitation Clinic/Center
- Fargo, ND
- NPI 1134523004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245974400000",
"number": "1740418920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 UNIVERSITY DR S",
"city": "FARGO",
"state": "ND",
"postal_code": "581031775",
"telephone_number": "701-239-3000",
"fax_number": "701-239-3237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 UNIVERSITY DR S",
"city": "FARGO",
"state": "ND",
"postal_code": "581031775",
"telephone_number": "701-239-3000",
"fax_number": "701-239-3237"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETHANY TOWERS BASIC CARE",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-26",
"last_updated": "2009-06-26",
"status": "A",
"authorized_official_last_name": "STUHAUG",
"authorized_official_first_name": "SHAWN",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "701-239-3523",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": "ND",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30781",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
- Bestow Counseling
- Bethany Home Health Care, Inc. (Bethany Personal Care Services)
- Bethany on 42ND
- Bethany Peterson, PLLC (Moving Forward Counseling Services)
- Bethany Pharmacy , Inc.
- Better Days Therapy and Wellness
- Better This Wat Psychological Services
- Better Together ND LLC
- Bettianne Medilink Solutions LLC Dba: Bettianne Transportation
- Jolynn Betts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.