Active NPI
Avera Marshall
Doing business as Avera Dialysis Marshall
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Marshall, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- AVERA MARSHALL
- Doing business as
- Avera Dialysis Marshall
- Practice address
- 300 S Bruce St Ste D
Marshall, MN 56258-1934 - Phone
- (507) 537-9200
- NPI assigned
- May 1, 2017
- Last updated
- Dec 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debbie Streier
- Title
- Ceo
- Phone
- (507) 537-9160
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
300 S Bruce St Ste D
Marshall, MN 56258-1934
Mailing address
300 S Bruce St
Marshall, MN 56258-1934
Phone (507) 532-9661
Other names 1
- Avera Dialysis Marshall
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180330000475 | MN | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 5799695227 | Practice locations: Marshall, MN |
Other NPIs with the same Medicare PAC ID 13
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Avera@Home Southwest Minnesota
- Home Health Agency
- Marshall, MN
- NPI 1033535547
5799695227
-
dba Avera Morningside Heights Care Center
- Skilled Nursing Facility
- Marshall, MN
- NPI 1255329033
5799695227
-
dba Avera Marshall Regional Medical Center
- Critical Access Hospital
- Marshall, MN
- NPI 1568401016
5799695227
-
dba Avera Eye Care Marshall
- Durable Medical Equipment & Medical Supplies
- Marshall, MN
- NPI 1669622031
5799695227
-
dba Avera Marshall Regional Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Marshall, MN
- NPI 1700070430
5799695227
-
dba Avera Marshall Regional Medical Center
- Psychiatric Hospital Unit
- Marshall, MN
- NPI 1750508412
5799695227
-
dba Avera Eye Care Springfield
- Ophthalmology Physician
- Springfield, MN
- NPI 1922316041
5799695227
-
dba Avera@Home Southwest Minnesota
- Community Based Hospice Care Agency
- Marshall, MN
- NPI 1952727463
5799695227
-
dba Avera Marshall Specialty Clinic
- Multi-Specialty Clinic/Center
- Marshall, MN
- NPI 1962641936
5799695227
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- Avera Dialysis Marshall
- Overall star rating
- Ownership
- Non-profit
- Certified
- Aug 10, 2018
- Medicare certification status
- Active
- Dialysis stations
- 8
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
National Provider Directory
National Provider Directory- Tax ID family
- Weiner Memorial Med Ctr
Other organizations with this tax ID 15
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Avera Medical Group Behavioral Health Services
- Psychiatry Physician
- Marshall, MN
- NPI 1528293172
-
dba Avera Medical Group Redwood Falls
- Health Service Clinic/Center
- Redwood Falls, MN
- NPI 1588005961
-
dba Avera Medical Group Radiation Oncology Marshall
- Radiation Oncology Clinic/Center
- Marshall, MN
- NPI 1649688623
-
dba Avera Marshall Adult Day Services
- Adult Day Care Clinic/Center
- Marshall, MN
- NPI 1710303227
-
dba Avera Eye Care Springfield
- Ophthalmology Physician
- Springfield, MN
- NPI 1922316041
Locations
300 S Bruce St
Ste D
Marshall, MN 56258
Phone (507) 537-9200
Ownership & related parties
All facility ownership & control disclosures 8
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Avera Tyler Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Mar 1, 2016 Mar 1, 2016 |
| Avera Tyler Hospital | Hospital | Operational/Managerial Control | Mar 1, 2016 |
| Avera Granite Falls Health Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jan 1, 2020 Jan 1, 2020 |
| Avera Granite Falls Health Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jan 1, 2020 Jan 1, 2020 |
| Avera Sunrise Manor | Skilled nursing facility | Operational/Managerial Control | Feb 17, 2016 |
| Avera Granite Falls Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2020 |
| Avera Medical Group Tyler | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Mar 1, 2016 Mar 1, 2016 |
| Avera Medical Group Tyler | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Mar 1, 2016 Mar 1, 2016 |
Owned or controlled facilities with NPI records 8
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Avera Granite Falls Health Center Swingbed
- Medicare Defined Swing Bed Hospital Unit
- Granite Falls, MN
- NPI 1578106498
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Avera Granite Falls Care Center
- Skilled Nursing Facility
- Granite Falls, MN
- NPI 1679116503
5% Or Greater Direct Ownership Interest
-
dba Avera Granite Falls Health Center
- Critical Access Hospital
- Granite Falls, MN
- NPI 1700429610
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Avera Lake Benton Clinic
- Rural Health Clinic/Center
- Lake Benton, MN
- NPI 1003869892
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Medicare Defined Swing Bed Hospital Unit
- Tyler, MN
- NPI 1326102237
Operational/Managerial Control
-
dba Avera Medical Group Tyler
- Rural Health Clinic/Center
- Tyler, MN
- NPI 1649223439
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Avera Tyler Hospital
- Critical Access Hospital
- Tyler, MN
- NPI 1801840517
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Avera Sunrise Manor
- Skilled Nursing Facility
- Tyler, MN
- NPI 1821042920
Operational/Managerial Control
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669852800000",
"number": "1154856839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S BRUCE ST",
"city": "MARSHALL",
"state": "MN",
"postal_code": "562581934",
"telephone_number": "507-532-9661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S BRUCE ST STE D",
"city": "MARSHALL",
"state": "MN",
"postal_code": "562581934",
"telephone_number": "507-537-9200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVERA MARSHALL",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-01",
"last_updated": "2022-12-01",
"certification_date": "2022-12-01",
"status": "A",
"authorized_official_last_name": "STREIER",
"authorized_official_first_name": "DEBBIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "507-537-9160"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Avera Dialysis Marshall",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Avera Dialysis Marshall",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Marshall, MN
- Chrissy Archbold
- Joyce Arends
- Lexis Arnold
- Avera Home Medical Equipment LLC
- Avera Marshall (Avera@Home Southwest Minnesota)
- Avera Marshall (Avera Morningside Heights Care Center)
- Avera Marshall (Avera Marshall Home Health Care)
- Avera Marshall (Avera Surgery Center Marshall)
- Avera Marshall (Avera Medical Group Carlson)
- Avera Marshall (Avera Medical Group Medical Oncology Marshall)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.