| Avera Marshall Specialty Clinic | |
|
300 S Bruce St Marshall MN 56258-1934 | |
| (507) 532-9661 | |
| Not Available |
| Full Name | Avera Marshall Specialty Clinic |
|---|---|
| Speciality | Clinic/Center |
| 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 |
|---|---|
| Avera Marshall Specialty Clinic 300 S Bruce St Marshall MN 56258-1934 Ph: (507) 532-9661 | Avera Marshall Specialty Clinic 300 S Bruce St Marshall MN 56258-1934 Ph: (507) 532-9661 |
| NPI Number | 1962641936 |
|---|---|
| Provider Enumeration Date | 02/13/2009 |
| Last Update Date | 12/02/2022 |
| Medicare PECOS PAC ID | 5799695227 |
|---|---|
| Medicare Enrollment ID | O20191211001152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962641936 | NPI | - | NPPES |
| 019545600 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Josie R Alpers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699737031 PECOS PAC ID: 4587567383 Enrollment ID: I20040129000497 |
| Provider Name | Christopher Gregory |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821050212 PECOS PAC ID: 3971498544 Enrollment ID: I20040220001092 |
| Provider Name | Andrew I Soye |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790747905 PECOS PAC ID: 4880597350 Enrollment ID: I20040401001335 |
| Provider Name | Brad Alan Paulson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750343232 PECOS PAC ID: 4587656129 Enrollment ID: I20040401001472 |
| Provider Name | Matthew T Pardy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306808720 PECOS PAC ID: 9335109446 Enrollment ID: I20041013000875 |
| Provider Name | Matthew R Casey |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1740227933 PECOS PAC ID: 4385656149 Enrollment ID: I20060616000013 |
| Provider Name | Matthew S Helgeson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568429397 PECOS PAC ID: 8729072699 Enrollment ID: I20070511000047 |
| Provider Name | Jonah H Luzier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124195235 PECOS PAC ID: 4981709284 Enrollment ID: I20080807000422 |
| Provider Name | Casey T Swenson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619016458 PECOS PAC ID: 9931176229 Enrollment ID: I20090305000689 |
| Provider Name | Sabina Choudhry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447212899 PECOS PAC ID: 5698678167 Enrollment ID: I20091120000594 |
| Provider Name | Randal L Welter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336101831 PECOS PAC ID: 2365345832 Enrollment ID: I20091120000610 |
| Provider Name | Patrick A Nelson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518929892 PECOS PAC ID: 2860395340 Enrollment ID: I20091120000628 |
| Provider Name | Joseph T Jordahl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215146998 PECOS PAC ID: 6800911587 Enrollment ID: I20100917000978 |
| Provider Name | Ryan David Jepperson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184836199 PECOS PAC ID: 5799800470 Enrollment ID: I20100917001005 |
| Provider Name | Joseph J Baka |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538121017 PECOS PAC ID: 3274726625 Enrollment ID: I20101019000386 |
| Provider Name | Daryl C. Rife |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326000811 PECOS PAC ID: 0143123612 Enrollment ID: I20101022001028 |
| Provider Name | Daniel L Crosby |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619939139 PECOS PAC ID: 1658565205 Enrollment ID: I20101028000228 |
| Provider Name | Suzanne L Woodward |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437275138 PECOS PAC ID: 8224220157 Enrollment ID: I20110805000431 |
| Provider Name | Kevin J Turneau |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427032572 PECOS PAC ID: 9032161609 Enrollment ID: I20170517002637 |
| Provider Name | Megan J Hora |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942590419 PECOS PAC ID: 9537458021 Enrollment ID: I20170818003038 |
| Provider Name | Kevin K Casper |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609213453 PECOS PAC ID: 1254573496 Enrollment ID: I20180809005490 |
| Provider Name | Anders S Grinde |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558627760 PECOS PAC ID: 3870895295 Enrollment ID: I20180815002815 |
| Provider Name | Matthew R Frank |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568874758 PECOS PAC ID: 4880973221 Enrollment ID: I20200716003444 |
| Provider Name | Megan E Albertson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013334911 PECOS PAC ID: 0143447771 Enrollment ID: I20200804003746 |
| Provider Name | Daniel L Sova |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528370590 PECOS PAC ID: 9234376344 Enrollment ID: I20210416001607 |
| Provider Name | Thomas E Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245624436 PECOS PAC ID: 1355643156 Enrollment ID: I20210706003022 |
| Provider Name | Shandon D Hatch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487803839 PECOS PAC ID: 4688892532 Enrollment ID: I20230104001717 |
| Provider Name | Susan Passalaqua |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891784880 PECOS PAC ID: 3375520919 Enrollment ID: I20230113002420 |
Mecca Medical Center, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 309 E College Dr, Marshall, MN 56258 Phone: 507-530-6028 | |
Avera Medical Group Carlson Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1521 Carlson St, Marshall, MN 56258 Phone: 507-532-9631 | |
Ccm Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 Nwakama St Ste 100, Marshall, MN 56258 Phone: 320-269-8877 | |
Access Health Marshall Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1521 Carlson St Ste 100, Marshall, MN 56258 Phone: 507-476-4800 Fax: 507-537-2758 | |
Southwest Minnesota State University Student Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 State St # Ba158, Marshall, MN 56258 Phone: 507-537-7202 Fax: 507-537-7259 | |
Avera Curaquick Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 E Main St, Marshall, MN 56258 Phone: 507-532-4450 |