AVERA MARSHALL


Address: 300 S Bruce St, Marshall, MN 56258-1934
Phone: 5075329661

AVERA MARSHALL (NPI# 1700070430) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 275N00000X Medicare Defined Swing Bed Unit 334792 MN Hospital Units

Other Provider/Organization Names

Other Name Type Code
Avera Marshall Regional Medical 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 275N00000X
Grouping Hospital Units
Classification Medicare Defined Swing Bed Unit

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

Search similar providers

City MARSHALL
Zip Code 56258

Improve Information

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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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