Avera Marshall

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

AVERA MARSHALL

Doing business as

Avera Surgery Center Marshall

Practice address

1521 Carlson St Ste 200
Marshall, MN 56258-2626

Phone

(507) 532-1901

NPI assigned

Sep 21, 2018

Last updated

Sep 21, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sharon Williams

Title

Director of Finance

Phone

(507) 537-9150

Specialties & licenses 1

Addresses

Other names 1

• Avera Surgery Center Marshall Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537488000000",
    "number": "1396229746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 CARLSON ST STE 200",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582626",
            "telephone_number": "507-532-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 CARLSON ST STE 200",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582626",
            "telephone_number": "507-532-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERA MARSHALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-21",
        "last_updated": "2018-09-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "507-537-9150"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera Surgery Center Marshall",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Avera Home Medical Equipment LLC
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• Avera Marshall (Avera Dialysis Marshall)
• Avera Marshall (Avera Morningside Heights Care Center)
• Avera Marshall (Avera Marshall Home Health Care)
• Avera Marshall (Avera Medical Group Carlson)
• Avera Marshall (Avera Medical Group Medical Oncology Marshall)
• Avera Marshall (Avera Medical Group Optometry - Marshall)
• Avera Marshall (Avera Medical Group Behavioral Health Services)
• Avera Marshall (Avera Marshall Regional Medical Center)

• Ambulatory Surgical Clinic/Center in Marshall, MN
• Providers in Marshall, MN by specialty
• Ambulatory Surgical Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.