AVERA MARSHALL (NPI# 1255329033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255329033 |
Entity Type | Organization |
Organization Name | AVERA MARSHALL |
Other Organization Name | AVERA MORNINGSIDE HEIGHTS CARE CENTER |
Practice Address |
300 S Bruce St Marshall MN 56258-1934 |
Practice Telephone | 5075379160 |
Practice Fax Number | 5075379144 |
Mailing Telephone | 5075379160 |
Mailing Fax Number | 5075379144 |
Enumeration Date | 2005-10-06 |
Last Update Date | 2010-01-13 |
Authorized Official Name | MRS. MARY MAERTENS (ADMINISTATOR) |
Authorized Official Telephone | 5075379160 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 0032355 | MN | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 019545600 | 05 |
Other Name | Type Code |
---|---|
Avera Morningside Heights Care Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396229746 | Avera Marshall | Clinic/Center | 1521 Carlson St Ste 200, Marshall, MN 56258-2626 | 2018-09-21 |
1154856839 | Avera Marshall | Clinic/Center | 300 S Bruce St Ste D, Marshall, MN 56258-1934 | 2017-05-01 |
1962859058 | Avera Marshall | Dentist | 197 N Tyler St, Tyler, MN 56178-1160 | 2016-05-18 |
1508177890 | Avera Marshall | Ophthalmology | 1040 3rd Ave, Mountain Lake, MN 56159-1587 | 2010-07-01 |
1346297041 | Avera Marshall | Home Health | 1104 E College Dr, Marshall, MN 56258-4270 | 2006-05-28 |
1659838290 | Avera Marshall | Occupational Therapist | 1420 E College Dr Ste 704, Marshall, MN 56258-2065 | 2019-03-01 |
1407330301 | Avera Marshall | Clinic/Center | 1521 Carlson St, Marshall, MN 56258-2626 | 2018-09-18 |
1437551785 | Avera Marshall | Clinic/Center | 300 S Bruce St, Marshall, MN 56258-1934 | 2014-09-18 |
1649688623 | Avera Marshall | Clinic/Center | 300 S Bruce St, Marshall, MN 56258-1934 | 2014-07-23 |
1710303227 | Avera Marshall | Clinic/Center | 300 S Bruce St, Marshall, MN 56258-1934 | 2014-03-07 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | AVERA MARSHALL REGIONAL MEDICAL CENTER | 300 S Bruce St, Marshall, MN 56258-1934 |
Street Address |
300 S BRUCE ST |
City | MARSHALL |
State | MN |
Zip Code | 56258-1934 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922003409 | Alain Desy | Orthopaedic Surgery | 300 S Bruce St, Marshall, MN 56258-1934 | 2005-06-20 |
1336750702 | Neil Thomas Eichten | Speech-Language Pathologist | 300 S Bruce St, Marshall, MN 56258-1934 | 2020-08-11 |
1427669894 | Victoria Ann Botten | Speech-Language Pathologist | 300 S Bruce St, Marshall, MN 56258-1934 | 2020-08-11 |
1811506694 | Kendall Drew Hines | Physical Therapist | 300 S Bruce St, Marshall, MN 56258-1934 | 2020-07-28 |
1053934877 | Karen Marie Kersting | Physical Therapist | 300 S Bruce St, Marshall, MN 56258-1934 | 2020-05-27 |
1306474747 | Ramy Vandendriessche | Physical Therapist | 300 S Bruce St, Marshall, MN 56258-1934 | 2020-03-31 |
1114576535 | Analisa Kay Buysse | Pharmacist | 300 S Bruce St, Marshall, MN 56258-1934 | 2019-09-09 |
1346894748 | Jacob Bottelberghe | Physician Assistant | 300 S Bruce St, Marshall, MN 56258-1934 | 2019-07-25 |
1598224321 | Hannah Sue Reski | Physician Assistant | 300 S Bruce St, Marshall, MN 56258-1934 | 2019-03-19 |
1245709443 | Amy Marie Meyeraan-rowe | Nurse Practitioner | 300 S Bruce St, Marshall, MN 56258-1934 | 2018-11-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285140012 | Action Manufacturing Inc | Durable Medical Equipment & Medical Supplies | 1105 Lake Road, Marshall, MN 56258 | 2017-12-15 |
1124579123 | Themarshrx | Durable Medical Equipment & Medical Supplies | 600 Sherman Ave, Marshall, MN 56258 | 2016-10-14 |
1780020370 | Heritage Pointe Senio | Assisted Living Facility | 207 N 4th Street, Marshall, MI 56258 | 2013-05-22 |
1528351178 | Lori Anne Lynner | Family Medicine | 3160 Us Hwy 59, Marshall, MN 56258 | 2011-05-16 |
1912148545 | Tami J Behnke | Counselor | 1418 State Street, Campus Religious Center, Marshall, MN 56258 | 2009-03-11 |
1073768396 | Sharyce Marie Audiology Inc | Audiologist | 1424 East College Drive, Suite 200, Marshall, MN 56258 | 2008-12-01 |
1497976625 | Erica Anne Jost | Specialist/Technologist | 1501 State Street, Marshall, MN 56258 | 2007-05-02 |
1265597470 | Nancy Louise Hemmingson | Optometrist | 300 S Bruce Street, Avera Marshall Southwest Ophthalmology, Marshall, MN 56258 | 2006-12-27 |
1407928187 | Midwest Vision Centers Inc | Technician/Technologist | 1113 E College Drive, Marshall, MN 56258 | 2006-11-15 |
1306918354 | Paul Joseph Puetz | Chiropractor | 111 Jewett St, Marshall, MN 56258 | 2006-11-14 |
Find all providers in zip 56258 |
Taxonomy Code | 314000000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275914731 | Priscilla Rittenhouse | Skilled Nursing Facility | 4694 Bluff Turn, Marshall, VA 20115-3005 | 2015-06-10 |
1629486717 | Winnie-stowell Hospital District | Skilled Nursing Facility | 1007 South Washington Avenue, Marshall, TX 75670 | 2014-08-01 |
1306125018 | Searcy Snf Operations LLC | Skilled Nursing Facility | 942 Highway 65 N, Marshall, AR 72650-7772 | 2011-08-11 |
1306026729 | Nacogdoches County Hospital District | Skilled Nursing Facility | 5915 Elysian Fields Road, Marshall, TX 75672-2083 | 2007-11-14 |
1841405040 | Highland Court, LLC | Skilled Nursing Facility | 100 South Cedar St, Marshall, AR 72650 | 2007-05-11 |
1265556294 | Wilkinson Care Center, Inc. | Skilled Nursing Facility | 415 Elderberry Ln, Marshall, NC 28753-6369 | 2007-03-16 |
1679658637 | White River Health System | Skilled Nursing Facility | 100 South Cedar, Marshall, AR 72650 | 2006-10-26 |
1003911207 | Mar-saline Manor, Inc. | Skilled Nursing Facility | 809 E Gordon St, Marshall, MO 65340-2811 | 2006-09-13 |
1184732364 | Grace Care of Texas | Skilled Nursing Facility | 509 S Grove St, Marshall, TX 75670-4069 | 2006-08-28 |
1124134598 | Grace Care of Texas | Skilled Nursing Facility | 207 W Merritt St, Marshall, TX 75670-6240 | 2006-08-21 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.