NPIMap

Organization Active NPI

Winona Health Services

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Winona, MN
National Provider Identifier
1447334602
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
327668 Issued in MN
Legal business name
WINONA HEALTH SERVICES
Practice address
855 Mankato Ave
Winona, MN 55987-4868
Phone
(507) 457-4321
Fax
(507) 457-4413
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Authorized official

Name
Rachelle Schultz
Title
President/Ceo
Phone
(507) 457-4321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 327668 MN Primary

Addresses

Primary practice location

855 Mankato Ave
Winona, MN 55987-4868

Mailing address

855 Mankato Ave
PO Box 5600
Winona, MN 55987-4868
Phone (507) 457-4321

Other identifiers 1

IdentifierTypeStateIssuer
11004400MedicaidWI

Other names 1

  • Winona Health Services - Dialysis Unit Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120404001014 MN Part A Provider - End-Stage Renal Disease Facility (ESRD) 8527977420 Practice locations: Winona, MN

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Winona Health ServicesCCN 242305
Overall star rating
3.0 of 5
Ownership
Non-profit
Certified
Sep 1, 1977
Medicare certification status
ActiveFrom the Provider of Services file
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
Winona Comm Mem Hos DME8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1570 Homer Rd
Winona, MN 55987
Phone (507) 457-7648

107 W 4th St
Ste B102
Winona, MN 55987
Phone (507) 457-7620

107 W 4th St
Ste 102A
Winona, MN 55987

825 Mankato Ave
Ste 214
Winona, MN 55987

901 Gilmore Ave
Winona, MN 55987
Phone (507) 457-7648

855 Mankato Ave
Winona, MN 55987
Phone (507) 454-3680

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lake Winona ManorWinona, MN, CCN 245240 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2011
Winona Area Hospice ServicesWinona, MN, CCN 241535 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jul 1, 2011

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 60

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 60

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": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1447334602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 MANKATO AVE",
            "address_2": "PO BOX 5600",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559874868",
            "telephone_number": "507-457-4321",
            "fax_number": "507-457-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 MANKATO AVE",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559874868",
            "telephone_number": "507-457-4321",
            "fax_number": "507-457-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINONA HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "507-457-4321"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "MN",
            "license": "327668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11004400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winona Health Services - Dialysis Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winona, MN

Sources for this page

Verify at the official NPI Registry.