| Avera Medical Group Behavioral Health Services | |
|
1104 E College Dr Marshall MN 56258-4270 | |
| (507) 337-2926 | |
| Not Available |
| Full Name | Avera Medical Group Behavioral Health Services |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1104 E College Dr, Marshall, Minnesota |
| Authorized Official Name and Position | Debbie Streier (CEO) |
| Authorized Official Contact | 5075379160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avera Medical Group Behavioral Health Services 1104 E College Dr Marshall MN 56258-4270 Ph: () - | Avera Medical Group Behavioral Health Services 1104 E College Dr Marshall MN 56258-4270 Ph: (507) 337-2926 |
| NPI Number | 1528293172 |
|---|---|
| Provider Enumeration Date | 05/27/2009 |
| Last Update Date | 12/02/2022 |
| Certification Date | 12/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528293172 | NPI | - | NPPES |
| 019545600 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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