AVERA HOME MEDICAL EQUIPMENT LLC (NPI# 1790793933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790793933 |
| Entity Type | Organization |
| Organization Name | AVERA HOME MEDICAL EQUIPMENT LLC |
| Practice Address |
1104 E College Dr Marshall MN 56258-4270 |
| Mailing Address |
2400 S Minnesota Ave Po Box 5045 Sioux Falls SD 57105-3761 |
| Practice Telephone | 5075377070 |
| Practice Fax Number | 5075377074 |
| Mailing Telephone | 6053221872 |
| Mailing Fax Number | 6053221892 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2016-04-26 |
| Authorized Official Name | MRS. SANDRA D DIELEMAN (MEMBER REPRESENTATIVE) |
| Authorized Official Telephone | 6053223984 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 8491260 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 118605000 | 05 |
| 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 |
| 1033535547 | Avera Marshall | In Home Supportive Care | 1104 E College Dr, Marshall, MN 56258-4270 | 2014-03-07 |
| 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 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| 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 |
| 1669835476 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1212 E College Dr Ste 1, Marshall, MN 56258-2010 | 2016-03-30 |
| 1689935942 | Wildrose Home Medical | Durable Medical Equipment & Medical Supplies | 1210 E College Dr Ste 800, Marshall, MN 56258-2269 | 2012-06-04 |
| 1902047327 | Bruce A Hale | Durable Medical Equipment & Medical Supplies | 764 Liberty Cutoff, Marshall, TX 75672-3927 | 2009-03-14 |
| 1639347842 | Parks Bell Inc | Durable Medical Equipment & Medical Supplies | 402 N Washington Ave, Marshall, TX 75670-3330 | 2008-02-11 |
| 1669515318 | Sedalia Eye Associates, P.C. | Durable Medical Equipment & Medical Supplies | 302 W Morgan St, Marshall, MO 65340-1930 | 2007-02-14 |
| 1306910161 | Marshall Medical Equipment | Durable Medical Equipment & Medical Supplies | 606 N Bolivar St Apt A, Marshall, TX 75670-2016 | 2006-11-20 |
| 1902979222 | Kroger Texas L P | Durable Medical Equipment & Medical Supplies | 300 East End Blvd (hwy 80), Marshall, TX 75670 | 2006-11-16 |
| 1780755041 | Robert Lisman | Durable Medical Equipment & Medical Supplies | 405 E Pinecrest Dr Unit B, Marshall, TX 75670-7200 | 2006-11-10 |
| Find all providers in MARSHALL | ||||
Please comment or provide details below to improve the information on AVERA HOME MEDICAL EQUIPMENT LLC.
| 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.