Winona Health Services
Organization Active NPI General Acute Care Hospital · Winona, MN
NPI 1295789352 · NPPES record last updated May 18, 2021
Key facts
- NPI
- 1295789352
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 331049 (MN)
- Legal business name
- WINONA HEALTH SERVICES
- Practice address
- 855 Mankato Ave
Winona, MN 55987-5377 - Phone
- (507) 454-3650
- Fax
- (507) 457-4413
- NPI assigned
- May 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Rachelle Schultz
- Title
- Ceo
- Phone
- (507) 457-4300
Owners & managing parties with NPI records 4
-
Katrina Ruth Hammel, M.D.
Owned or controlled facilities with NPI records 2
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 6
Member of 1
Related certifications (CCN) 1
Practitioners 392
-
Juan C Angelats, MD
-
Katy S Anthony, PA-C
-
Harjit K Chahal, MD, MPH
-
Autumn Leigh Cole, MSN, R.N. FNP-C
-
Todd James Connaughty, LPCC, LADC
-
Hannah Degallier, PA-C
-
Laura Michelle Dubis, PA-C
-
Richard C Ferris, MD
-
Adam C Fletcher, MD
-
Garrett Fooshee, PA-C
-
Leslie B Forgosh, MD
-
Jennifer Jean Forsyth, D.O.
-
Thomas Paul Gustafson, M.D.
-
Katrina Ruth Hammel, M.D.
-
Erin M Hanson, CNP
-
Leah G Irish, CRNA
Affiliated clinicians 202
-
Juan C Angelats, MD
-
Katy S Anthony, PA-C
-
Andrew John Bentall, MBCHB MD
-
Jennifer H Block, MD
-
Bryan R. Carleton, APRN, DNP
-
Harjit K Chahal, MD, MPH
-
Autumn Leigh Cole, MSN, R.N. FNP-C
-
Todd James Connaughty, LPCC, LADC
-
Hannah Degallier, PA-C
-
Virginia Anne Dines, M.D.
-
Laura Michelle Dubis, PA-C
-
Richard C Ferris, MD
-
Adam C Fletcher, MD
-
Maren Flynn, M.D.
-
Garrett Fooshee, PA-C
Medicare Care Compare: Hospital
- Listed as
- Winona Health Services
- Overall star rating
- ★★☆☆☆ 2 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (6 enrollments) in MN, WI, SD, TX, CO
Hospital certification: CCN 240044
- Legal name
- WINONA HEALTH SERVICES
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Sep 25, 2015
- Beds
- 57 (49 certified)
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jan 1, 1900 in MN
- Enrollment address
- 855 Mankato Ave
Winona, MN 55987-4868 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 19
| Name | Role | Since | Share |
|---|---|---|---|
| David Vaselaar |
Corporate Director | Jan 1, 2020 | |
| Kenneth a Mogren |
Corporate Director | Jan 1, 2007 | |
| Everett Allen Beguin |
Corporate Director | Feb 6, 2020 | |
| Nicholas Modjeski |
Corporate Director | Dec 1, 2017 | |
| Jessica Remington |
W-2 Managing Employee |
Jul 3, 2023 | |
| Operational/Managerial Control |
Jul 3, 2023 | ||
| Greg Evans |
Corporate Director | Jun 1, 2016 | |
| Brian Semling |
Corporate Director | Nov 1, 2016 | |
| David M Gilmer |
Corporate Director | Aug 1, 2018 | |
| Steven L Blue |
Corporate Director | Jan 1, 2007 | |
| Robert Williams |
Corporate Director | Nov 1, 2016 | |
| Hugh Miller |
Corporate Director | Nov 21, 2007 | |
| Sandra Burke |
Corporate Director | Jan 1, 2016 | |
| Matthew Broghammer |
Corporate Director | Jan 1, 2007 | |
| Phil Sonnenberg |
Corporate Director |
Jan 1, 2025 | |
| Katrina R Hammel |
Corporate Director | Feb 1, 2019 | |
| Fatima Said |
Corporate Director | Aug 1, 2018 | |
| Todd Paulson |
Corporate Director | Aug 1, 2018 | |
| Rachelle Heising-Schultz |
Corporate Director | Apr 21, 2003 | |
| Operational/Managerial Control |
Apr 1, 2003 | ||
| Audrey Ceplecha |
W-2 Managing Employee | Jun 1, 1993 |
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Lake Winona Manor |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2011 |
| Winona Area Hospice Services |
Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Jul 1, 2011 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030421000012 | MN | Part a Provider - Hospital | 8527977420 | Practice locations: Rushford, MN; Winona, MN |
| O20040106000260 | MN | Part B Supplier - Clinic/Group Practice | 8527977420 |
Receives reassigned benefits from 360 practitioners 1 other NPI on this enrollment Practice locations: Minneapolis, MN; Rushford, MN; Winona, MN |
| O20100129000724 | WI | Part B Supplier - Clinic/Group Practice | 8527977420 |
Receives reassigned benefits from 4 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Viroqua, WI; Fountain City, WI; La Crosse, WI |
| O20200417003366 | SD | Part B Supplier - Clinic/Group Practice | 8527977420 |
Receives reassigned benefits from 1 practitioner Practice locations: Sioux Falls, SD |
| O20240126002860 | TX | Part B Supplier - Clinic/Group Practice | 8527977420 | Practice locations: Houston, TX |
| O20260624000029 | CO | Part B Supplier - Clinic/Group Practice | 8527977420 |
Receives reassigned benefits from 1 practitioner Practice locations: Highlands Ranch, CO |
National Provider Directory
Locations
1268 W 5th St
Winona, MN 55987
Phone (507) 457-7607
930 Parks Ave
Winona, MN 55987
Phone (507) 457-7703
825 Mankato Ave
Winona, MN 55987
Phone (507) 454-4925
4510 N Lewis Ave
Sioux Falls, SD 57104
Phone (605) 322-5381
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | MN | ||
| General Acute Care Hospital | 282N00000X | 331049 | MN | Yes |
Addresses
Primary practice location
855 Mankato Ave
Winona, MN 55987-5377
Mailing address
855 Mankato Ave
PO Box 5600
Winona, MN 55987-5377
Phone (507) 454-3650
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38040CO | Other | MN | BLUE SHIELD PHYS |
| 1928HCO | Other | MN | BLUE CROSS PROV # |
| 11004400 | Medicaid | WI | |
| 124847200 | Medicaid | MN | |
| CE1794 | Other | MN | MEDICARE RAILROAD |
Other names
- Winona Community Memorial Hospital
Other providers in Winona, MN
- Winona Health Services
- Winona Health Services
- Winona Health Services
- Winona Health Services
- Winona Health Services
- Winona Health Services
- Winona Health Services
- Winona Health Services
- Winona Health Services
- Winona Health Services
All providers in Winona, MN · General Acute Care Hospital in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.