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Avera Home Medical Equipment LLC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Marshall, MN

NPI 1790793933 · NPPES record last updated Jun 25, 2026

Key facts

NPI
1790793933
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
License
8491260 (MN)
Legal business name
AVERA HOME MEDICAL EQUIPMENT LLC
Practice address
1521 Carlson St Ste a
Marshall, MN 56258-2626
Phone
(507) 537-7070
Fax
(507) 537-7074
NPI assigned
Aug 3, 2006
Organization subpart
No

Authorized official

Name
Mrs. Sandra D Dieleman
Title
Member Representative
Phone
(605) 322-3984

Other NPIs with the same Medicare PAC ID 9

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Corporate family (same tax ID) 8

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

Member of 6

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 21

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

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Avera Home Medical Equipment
1521 Carlson St, Marshall, MN 56258-2626 · (507) 537-7070		 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Contracture Treatment Devices: Dynamic Splint|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Insulin Infusion Pu… Does not accept assignment
Participating since Dec 27, 2002

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20160421001646 MN DME Supplier - Medical Supply Company
DME Supplier - Medical Supply Company With Orthotic Personnel
DME Supplier - Medical Supply Company With Respiratory Therapist
DME Supplier - Oxygen & Equipment		 7618182205 Practice locations: Marshall, MN

National Provider Directory

Tax ID family
Avera Home Medical Equipment LLC (9 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 8491260 MN Yes

Addresses

Primary practice location

1521 Carlson St Ste a
Marshall, MN 56258-2626

Mailing address

PO Box 5045
Sioux Falls, SD 57117-5045
Phone (605) 322-1872

Other identifiers

IdentifierTypeStateIssuer
118605000MedicaidMN

Other providers in Marshall, MN

All providers in Marshall, MN · Durable Medical Equipment & Medical Supplies in Minnesota

Sources for this page

Verify at the official NPI Registry.