Avera Marshall Specialty Clinic

LBN: Avera Marshall
Avera Marshall Specialty Clinic is an health care organization with primary practice located at 300 S Bruce St , Marshall MN 56258-1934. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Avera Marshall can be contacted via phone (507) 532-9661, or through Streier, Debbie via phone (507) 537-9160.

Contact Information

Primary practice address
300 S Bruce St Marshall MN 56258-1934
Phone: (507) 532-9661
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Streier, Debbie
Phone: (507) 537-9160

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1962641936
LBN Legal business name Avera Marshall
DBA Doing business as Avera Marshall Specialty Clinic
Authorized official Streier, Debbie
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2009
Last updated Dec 2nd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962641936 NPPES
Minnesota MEDICAID 019545600

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