AVERA MARSHALL


Address: 300 S Bruce St, Marshall, MN 56258-1934
Phone: 5075379160

AVERA MARSHALL (NPI# 1255329033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 0032355 MN Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MN 019545600 05

Other Provider/Organization Names

Other Name Type Code
Avera Morningside Heights Care Center Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 300 S BRUCE ST
City MARSHALL
State MN
Zip Code 56258-1934

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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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City MARSHALL
Zip Code 56258

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Dataset Information

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.

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