Provider Demographics
NPI:1811547037
Name:BETHANY-ST JOSEPH CORPORATION
Entity Type:Organization
Organization Name:BETHANY-ST JOSEPH CORPORATION
Other - Org Name:MERIT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINANCIAL SERVICES DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-788-5700
Mailing Address - Street 1:2501 SHELBY RD
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601-8037
Mailing Address - Country:US
Mailing Address - Phone:608-788-5700
Mailing Address - Fax:608-788-4030
Practice Address - Street 1:2501 SHELBY RD
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-8037
Practice Address - Country:US
Practice Address - Phone:608-788-5700
Practice Address - Fax:608-788-4030
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BETHANY ST. JOSEPH CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-09-19
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care