NPIMap

Organization Active NPI

Winona Health Services

  • Medicare Defined Swing Bed Hospital Unit
  • Winona, MN
National Provider Identifier
1578078036
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
WINONA HEALTH SERVICES
Practice address
855 Mankato Ave
Winona, MN 55987-4868
Phone
(507) 454-3650
NPI assigned
Dec 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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

Authorized official

Name
Rachelle Schultz, ED.D
Title
President/Ceo
Phone
(507) 454-3650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

855 Mankato Ave
Winona, MN 55987-4868

Mailing address

855 Mankato Ave
Winona, MN 55987-4868
Phone (507) 454-3650

Other names 1

  • Winona Health Services- Swing Bed Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171229000162 MN Part A Provider - Hospital 8527977420 Practice locations: Winona, MN

Hospital certification: CCN 24U044

Legal name
WINONA HEALTH SERVICES
Organization structure
CorporationNon-profit
Incorporated
Mar 6, 1894 in MN
Enrollment address
855 Mankato Ave
Winona, MN 55987-4868
Hospital Swing-Bed Unit
Hospital subgroups
Swing-bed approved

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

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

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.

Member organizations 7

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
David Vaselaar Individual Corporate DirectorBoard Member Jan 1, 2020
Kenneth a Mogren Individual Corporate DirectorBoard Member Jan 1, 2007
Everett Allen Beguin Individual Corporate DirectorBoard Member Feb 6, 2020
Nicholas Modjeski Individual Corporate Director Dec 1, 2017
Jessica Remington Individual Corporate Director Jul 3, 2023
W-2 Managing EmployeeCfo Jul 3, 2023
Greg Evans Individual Corporate DirectorBoard Member Jun 1, 2016
Brian Semling Individual Corporate DirectorBoard Member Nov 1, 2016
David M Gilmer Individual Corporate DirectorBoard Member Aug 1, 2018
Steven L Blue Individual Corporate DirectorBoard Member Jan 1, 2007
Robert Williams Individual Corporate DirectorBoard Member Nov 1, 2016
Hugh Miller Individual Corporate DirectorBoard Member Jan 1, 1993
Sandra Burke Individual Corporate DirectorBoard Member Jan 1, 2016
Matthew Broghammer Individual Corporate DirectorBoard Member Jan 1, 2007
Phil Sonnenberg Individual Corporate DirectorDirector Jan 1, 2025
Katrina R Hammel Individual Corporate Director Feb 1, 2019
Fatima Said Individual Corporate DirectorBoard Member Aug 1, 2018
Todd Paulson Individual Corporate Director Aug 1, 2018
Rachelle Heising-Schultz Individual Corporate DirectorPresident Ceo Jan 1, 2007
W-2 Managing Employee Jan 1, 2007
Audrey Ceplecha Individual W-2 Managing EmployeeDirector of Revenue Cycle Nov 1, 2021
Operational/Managerial ControlDirector of Revenue Cycle Nov 1, 2021

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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 160

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

View all 160

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": "1512518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512518400000",
    "number": "1578078036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 MANKATO AVE",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559874868",
            "telephone_number": "507-454-3650"
        },
        {
            "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": "507-454-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINONA HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-06",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "507-454-3650",
        "authorized_official_credential": "ED.D"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winona Health Services- Swing Bed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winona, MN

Sources for this page

Verify at the official NPI Registry.