BETHANY BOARD AND LODGE INC NPI 1669942298

NPI Information

  • NPI: 1669942298
  • Provider Name: BETHANY BOARD AND LODGE, INC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 240 1ST ST NE
    MCINTOSH, MN
    ZIP 56556
  • Phone: (218) 435-1044

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NPI Details

BETHANY BOARD AND LODGE, INC is an assisted living facility in Mcintosh, MN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. BETHANY BOARD AND LODGE, INC NPI is 1669942298. The provider is registered as an organization entity type.

The provider's business location address is:

240 1ST ST NE
MCINTOSH, MN
ZIP 56556
Phone: (218) 435-1044
Fax: (218) 435-1143

The provider's authorized official is Tyler Mcglynn .
The authorized official title is President and has the following contact phone number (218) 280-1609.

The enumeration date for this NPI number is 11/27/2018 and was last updated on 11/27/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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