AVERA MARSHALL (NPI# 1700070430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700070430 |
Entity Type | Organization |
Organization Name | AVERA MARSHALL |
Other Organization Name | AVERA MARSHALL REGIONAL MEDICAL CENTER |
Practice Address |
300 S Bruce St Marshall MN 56258-1934 |
Practice Telephone | 5075329661 |
Mailing Telephone | 5075329661 |
Enumeration Date | 2007-09-06 |
Last Update Date | 2010-01-13 |
Authorized Official Name | SHARON WILLIAMS (CFO) |
Authorized Official Telephone | 5075379150 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 275N00000X | Medicare Defined Swing Bed Unit | 334792 | MN | Hospital Units |
Other Name | Type Code |
---|---|
Avera Marshall Regional Medical 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 | 275N00000X |
Grouping | Hospital Units |
Classification | Medicare Defined Swing Bed Unit |
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
Notes: Source: Code of Federal Regulations #42, Section 482.66. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831351345 | John Fitzgibbon Memorial Hospital, Inc. | Medicare Defined Swing Bed Unit | 2305 South 65 Highway, Marshall, MO 65340-3702 | 2008-06-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881039659 | Metropolitan Health Medical Center | Medicare Defined Swing Bed Unit | 3055 Old Highway 8 Ste 2, St Anthony, MN 55418-2500 | 2013-05-07 |
1952359614 | Centracare Health System - Long Prairie | Medicare Defined Swing Bed Unit | 50 Centracare Dr, Long Prairie, MN 56347 | 2006-05-05 |
1952370348 | City of Sleepy Eye | Medicare Defined Swing Bed Unit | 400 4th Ave Nw, Sleepy Eye, MN 56085-1109 | 2006-03-16 |
1932738218 | Essentia Health Moose Lake | Medicare Defined Swing Bed Unit | 4572 County Road 61, Moose Lake, MN 55767-9401 | 2020-04-07 |
1578106498 | Avera Granite Falls | Medicare Defined Swing Bed Unit | 345 10th Ave, Granite Falls, MN 56241-1442 | 2019-10-23 |
1285116061 | Carris Health - Redwood LLC | Medicare Defined Swing Bed Unit | 100 Fallwood Rd, Redwood Falls, MN 56283-1828 | 2018-08-29 |
1578078036 | Winona Health Services | Medicare Defined Swing Bed Unit | 855 Mankato Ave, Winona, MN 55987-4868 | 2017-12-06 |
1649705690 | Stevens Community Medical Center Inc | Medicare Defined Swing Bed Unit | 400 E. 1st Street, Morris, MN 56267 | 2017-04-27 |
1316374978 | Bridges Medical Center | Medicare Defined Swing Bed Unit | 201 9th St W, Ada, MN 56510-1279 | 2013-09-27 |
1457786972 | Centracare Health-paynesville LLC | Medicare Defined Swing Bed Unit | 200 W 1st St, Paynesville, MN 56362-1445 | 2013-09-04 |
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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.