Organization Active NPI

Bethany Towers Basic Care

  • Custodial Care Facility
  • Fargo, ND
National Provider Identifier
1740418920
Registry record updated Jun 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
30781MedicaidND

National Provider Directory

National Provider Directory
Tax ID family
Bethany Towers Basic Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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

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.

Verify at the official NPI Registry.