Active NPI
Avera Granite Falls
Doing business as Avera Granite Falls Health Center
- Critical Access Hospital
- Granite Falls, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- Legal business name
- AVERA GRANITE FALLS
- Doing business as
- Avera Granite Falls Health Center
- Practice address
- 345 10TH Ave
Granite Falls, MN 56241-1442 - Phone
- (320) 564-3111
- NPI assigned
- Oct 23, 2019
- Last updated
- Jun 30, 2021
- 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
- Debra Streier
- Title
- President/Ceo
- Phone
- (507) 537-9160
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | Primary |
Addresses
Primary practice location
345 10TH Ave
Granite Falls, MN 56241-1442
Mailing address
300 S Bruce St
Marshall, MN 56258-1934
Other names 1
- AVERA GRANITE FALLS HEALTH CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191204000103 | MN | Part A Provider - Critical Access Hospital | 1456784560 |
Receives reassigned benefits from 67 practitioners Practice locations: Granite Falls, MN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1700429610. Details of each certification follow.
Hospital certification: CCN 241343
- Legal name
- AVERA GRANITE FALLS
- Doing business as
- AVERA GRANITE FALLS HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Oct 1, 2002
- Last certification
- Mar 12, 2025
- Beds
- 30 (25 certified)
- Ownership / control type
- Private (not for profit)
- Most recent change of ownership
- Jan 1, 2020 (1 total)
- Organization structure
- Corporation
- Incorporated
- Sep 19, 2019 in MN
- Enrollment address
- 345 10TH Ave
Granite Falls, MN 56241-1442
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
dba Avera Granite Falls Health Center Swingbed
- Medicare Defined Swing Bed Hospital Unit
- Granite Falls, MN
- NPI 1578106498
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Avera Granite Falls Health Center Swingbed
- Medicare Defined Swing Bed Hospital Unit
- Granite Falls, MN
- NPI 1578106498
1456784560
-
dba Avera Granite Falls Care Center
- Skilled Nursing Facility
- Granite Falls, MN
- NPI 1679116503
1456784560
-
dba Avera Medical Group Granite Falls
- Family Medicine Physician
- Granite Falls, MN
- NPI 1700429644
1456784560
Care Compare: Hospital
Medicare Care Compare- Listed as
- Avera Granite Falls
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider Directory- Tax ID family
- Avera Granite Falls
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Avera Granite Falls Health Center Swingbed
- Medicare Defined Swing Bed Hospital Unit
- Granite Falls, MN
- NPI 1578106498
-
dba Avera Granite Falls Care Center
- Skilled Nursing Facility
- Granite Falls, MN
- NPI 1679116503
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Avera Medical Group Radiation Oncology Marshall
- Radiation Oncology Clinic/Center
- Marshall, MN
- NPI 1649688623
Member Of
Ownership & related parties
All disclosed owners & managing parties 13
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| James Francis Dover | Corporate Officer | Oct 23, 2023 | |
| Lisa Streich | Corporate Director | Oct 1, 2024 | |
| Daniel Barber | Corporate Director | Jul 1, 2024 | |
| Lucille F Welbig | Corporate Director | Jul 1, 2023 | |
| Debra Ann Streier | Corporate Officer | Feb 1, 2021 | |
| Lavonne Annette Koenen | Corporate Director | Jul 1, 2020 | |
| Thomas J Kooiman | Corporate Officer | May 29, 2022 | |
| Operational/Managerial Control | May 29, 2022 | ||
| Avera Marshall | 5% Or Greater Direct Ownership Interest | Jan 1, 2020 | 100% |
| Operational/Managerial Control | Jan 1, 2020 | ||
| Christy Ann Coudron | Corporate Officer | Feb 1, 2021 | |
| Rosa E Rios Avendano | Corporate Director | Jul 1, 2023 | |
| Julie Lautt | Corporate Officer | Mar 1, 2020 | |
| Avera Health | 5% Or Greater Indirect Ownership Interest | Jan 1, 2020 | 100% |
| Mark a Jensen | Corporate Director | Jul 1, 2023 |
Owners & managing parties with NPI records 15
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Avera@Home Southwest Minnesota
- Home Health Agency
- Marshall, MN
- NPI 1033535547
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Avera Dialysis Marshall
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Marshall, MN
- NPI 1154856839
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Avera Morningside Heights Care Center
- Skilled Nursing Facility
- Marshall, MN
- NPI 1255329033
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Avera Eye Care Dawson
- Optometrist
- Dawson, MN
- NPI 1396513370
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Avera Eye Care Tracy
- Optometrist
- Tracy, MN
- NPI 1487958062
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Avera Marshall Regional Medical Center
- Critical Access Hospital
- Marshall, MN
- NPI 1568401016
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Avera Eye Care Marshall
- Durable Medical Equipment & Medical Supplies
- Marshall, MN
- NPI 1669622031
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Avera Marshall Regional Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Marshall, MN
- NPI 1700070430
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Avera Marshall Regional Medical Center
- Psychiatric Hospital Unit
- Marshall, MN
- NPI 1750508412
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Avera Eye Care Springfield
- Ophthalmology Physician
- Springfield, MN
- NPI 1922316041
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Avera Eye Care Canby
- Optometrist
- Canby, MN
- NPI 1952179939
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Avera@Home Southwest Minnesota
- Community Based Hospice Care Agency
- Marshall, MN
- NPI 1952727463
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Facilities with the same owner 91
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Avera Granite Falls Health Center Swingbed
- Medicare Defined Swing Bed Hospital Unit
- Granite Falls, MN
- NPI 1578106498
Avera Health, Avera Marshall
-
dba Avera Granite Falls Care Center
- Skilled Nursing Facility
- Granite Falls, MN
- NPI 1679116503
Avera Marshall
-
dba Avera@Home Southwest Minnesota
- Home Health Agency
- Marshall, MN
- NPI 1033535547
Avera Health
-
dba Avera Morningside Heights Care Center
- Skilled Nursing Facility
- Marshall, MN
- NPI 1255329033
Avera Health
-
dba Avera Marshall Regional Medical Center
- Critical Access Hospital
- Marshall, MN
- NPI 1568401016
Avera Health
-
dba Avera Marshall Regional Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Marshall, MN
- NPI 1700070430
Avera Health
-
dba Avera Marshall Regional Medical Center
- Psychiatric Hospital Unit
- Marshall, MN
- NPI 1750508412
Avera Health
-
dba Avera@Home Southwest Minnesota
- Community Based Hospice Care Agency
- Marshall, MN
- NPI 1952727463
Avera Health
-
dba Avera Lake Benton Clinic
- Rural Health Clinic/Center
- Lake Benton, MN
- NPI 1003869892
Avera Health, Avera Marshall
-
- Medicare Defined Swing Bed Hospital Unit
- Tyler, MN
- NPI 1326102237
Avera Health, Avera Marshall
-
dba Avera Medical Group Tyler
- Rural Health Clinic/Center
- Tyler, MN
- NPI 1649223439
Avera Health, Avera Marshall
-
dba Avera Tyler Hospital
- Critical Access Hospital
- Tyler, MN
- NPI 1801840517
Avera Health, Avera Marshall
Practitioners & affiliated clinicians
Practitioners 72
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Crookston, MN
- NPI 1700271012
-
- Surgery Physician
- Willmar, MN
- NPI 1700852589
-
- Family Medicine Physician
- Grand Rapids, MN
- NPI 1629035308
-
- Family Nurse Practitioner
- Granite Falls, MN
- NPI 1023850195
-
- Family Nurse Practitioner
- Redwood Falls, MN
- NPI 1194483156
-
- Surgery Physician
- Montevideo, MN
- NPI 1255338067
-
- Adult Health Nurse Practitioner
- Marshall, MN
- NPI 1699141929
-
- Family Medicine Physician
- Granite Falls, MN
- NPI 1013976794
-
- Mental Health Counselor
- Marshall, MN
- NPI 1669023693
-
- Certified Registered Nurse Anesthetist
- Montevideo, MN
- NPI 1104016153
-
- Pediatric Nurse Practitioner
- Marshall, MN
- NPI 1609323484
-
- Diagnostic Radiology Physician
- Minneapolis, MN
- NPI 1568874758
Affiliated clinicians 39
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Marshall, MN
- NPI 1912970807
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625011200000",
"number": "1700429610",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 10TH AVE",
"city": "GRANITE FALLS",
"state": "MN",
"postal_code": "562411442",
"telephone_number": "320-564-3111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVERA GRANITE FALLS",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-23",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A",
"authorized_official_last_name": "STREIER",
"authorized_official_first_name": "DEBRA",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "507-537-9160"
},
"taxonomies": [
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AVERA GRANITE FALLS HEALTH CENTER",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "AVERA GRANITE FALLS HEALTH CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Granite Falls, MN
- Stephanie Almanza, LGSW, LADC, ICGC-I
- Avera Granite Falls (Avera Granite Falls Home Health)
- Avera Granite Falls (Avera Granite Falls Health Center Swingbed)
- Avera Granite Falls (Avera Granite Falls Care Center)
- Avera Granite Falls (Avera Medical Group Granite Falls)
- Jessica Ann Bjorlie
- Taylor Noelle Bradshaw, CNP
- Darrell L Carter, MD
- Autumn Alise Cavender-Wilson, C.P.M., L.T.M
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.