NPIMap

Organization Active NPI

Bethesda North Pointe

  • Assisted Living Facility
  • New London, MN
National Provider Identifier
1760147037
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BETHESDA NORTH POINTE
Practice address
500 Peterson Pkwy
New London, MN 56273-7838
Phone
(320) 235-9532
NPI assigned
Nov 2, 2021
Last updated
Nov 2, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
BETHESDAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Authorized official

Name
Ashley Bormann
Title
Administrator
Phone
(320) 214-5662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

500 Peterson Pkwy
New London, MN 56273-7838

Mailing address

901 Willmar Ave SE
Willmar, MN 56201-4604
Phone (320) 214-5662

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2235964Bethesda North Pointe500 Peterson Parkway, New London, MN 56273Certificate of waiverSep 13, 2027

National Provider Directory

National Provider Directory
Tax ID family
Park View Village8 organizations share this tax ID, including this one
Part of
Park View Village

Other organizations with this tax ID 7

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": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1760147037",
    "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": "320-214-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PETERSON PKWY",
            "city": "NEW LONDON",
            "state": "MN",
            "postal_code": "562737838",
            "telephone_number": "320-235-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA NORTH POINTE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BETHESDA",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "BORMANN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "320-214-5662"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.