AVERA MARSHALL (NPI# 1033535547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033535547 |
| Entity Type | Organization |
| Organization Name | AVERA MARSHALL |
| Other Organization Name | AVERA@HOME MARSHALL |
| Practice Address |
1104 E College Dr Marshall MN 56258-4270 |
| Mailing Address |
300 S Bruce St Marshall MN 56258-1934 |
| Practice Telephone | 5075377070 |
| Mailing Telephone | 5075329661 |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2015-04-29 |
| Authorized Official Name | SHARON WILLIAMS (V.P. OF FINANCE/IS) |
| Authorized Official Telephone | 5075379150 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Avera@Home Marshall | 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 |
1104 E COLLEGE DR |
| City | MARSHALL |
| State | MN |
| Zip Code | 56258-4270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346297041 | Avera Marshall | Home Health | 1104 E College Dr, Marshall, MN 56258-4270 | 2006-05-28 |
| 1952727463 | Avera Marshall | Hospice Care, Community Based | 1104 E College Dr, Marshall, MN 56258-4270 | 2014-03-07 |
| 1528293172 | Avera Marshall | Psychiatry & Neurology | 1104 E College Dr, Marshall, MN 56258-4270 | 2009-05-27 |
| 1154506384 | Avera Mckennan | Psychiatry & Neurology | 1104 E College Dr, Ste. B, Marshall, MN 56258-4270 | 2008-01-07 |
| 1497961049 | Anne Marie Vorbach | Psychologist | 1104 E College Dr, Ste B, Marshall, MN 56258-4270 | 2007-05-14 |
| 1053400465 | Deborah R. Hokanson | Dietitian, Registered | 1104 E College Dr, Marshall, MN 56258-4270 | 2006-10-12 |
| 1790793933 | Avera Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1104 E College Dr, Marshall, MN 56258-4270 | 2006-08-03 |
| 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 | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497378905 | Blessed Hearts Services, LLC | Home Health | 505 E Travis St Ste 207, Marshall, TX 75670-4281 | 2020-05-19 |
| 1922321751 | Select Staffing LLC | Home Health | 110 N Columbus St, Marshall, TX 75670-3422 | 2010-03-08 |
| 1912127457 | Infinite Nursing Care Services, LLC | Home Health | 310 N Alamo Blvd, Marshall, TX 75670-3451 | 2007-04-26 |
| 1245454024 | Touching Hearts Home Care LLC | Home Health | 1210 E College Dr, Marshall, MN 56258-2062 | 2007-04-12 |
| 1235241639 | Marshall Homecare, LLC | Home Health | 401 South Bolivar Street, Marshall, TX 75670-4109 | 2006-08-31 |
| 1790795847 | State of Arkansas | Home Health | 742 Airport Road, Searcy County Health Unit, Marshall, AR 72650-0808 | 2006-08-09 |
| 1346297041 | Avera Marshall | Home Health | 1104 E College Dr, Marshall, MN 56258-4270 | 2006-05-28 |
| 1437106184 | Melicare Inc | Home Health | 2615 E End Blvd S, Suite 300, Marshall, TX 75672-7425 | 2006-05-28 |
| 1952360521 | Ella E.m. Brown Charitable Circle | Home Health | 13444 Preston Dr, Marshall, MI 49068-8536 | 2006-03-21 |
| 1164419446 | Marshall Manor Homecare, LLC | Home Health | 1108 Elsie St, Suite A, Marshall, TX 75670-6278 | 2005-10-03 |
| Find all providers in MARSHALL | ||||
Please comment or provide details below to improve the information on AVERA MARSHALL.
| 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.