Avera Marshall Regional Medical Center | |
300 S Bruce St Marshall MN 56258-1934 | |
(507) 532-9661 | |
Not Available |
Full Name | Avera Marshall Regional Medical Center |
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Speciality | Psychiatric Unit |
Location | 300 S Bruce St, Marshall, Minnesota |
Authorized Official Name and Position | Debbie Streier (CEO) |
Authorized Official Contact | 5075379160 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Avera Marshall Regional Medical Center 300 S Bruce St Marshall MN 56258-1934 Ph: (507) 532-9661 | Avera Marshall Regional Medical Center 300 S Bruce St Marshall MN 56258-1934 Ph: (507) 532-9661 |
NPI Number | 1750508412 |
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Provider Enumeration Date | 04/20/2007 |
Last Update Date | 12/02/2022 |
Certification Date | 12/02/2022 |
Medicare PECOS PAC ID | 5799695227 |
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Medicare Enrollment ID | O20091209000554 |
Identifier | Type | State | Issuer |
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1750508412 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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273R00000X | Psychiatric Unit | 334792 (Minnesota) | Primary |
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