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Organization Active NPI

Winona Health Services

  • Primary Care Clinic/Center
  • Winona, MN
National Provider Identifier
1922758945
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
WINONA HEALTH SERVICES
Practice address
107 W 4TH St Ste B102
Winona, MN 55987-3103
Phone
(507) 457-7620
NPI assigned
Mar 24, 2022
Last updated
Jun 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

107 W 4TH St Ste B102
Winona, MN 55987-3103

Mailing address

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

Other names 1

  • Winona Health Services Main Street Clinic Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220628003105 MN Part B Supplier - Clinic/Group Practice 8527977420 Receives reassigned benefits from 20 practitioners
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).

National Provider Directory

National Provider Directory

Locations

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

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 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1922758945",
    "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": "107 W 4TH ST STE B102",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559873103",
            "telephone_number": "507-457-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINONA HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "HEISING 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": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winona Health Services Main Street Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Winona Health Services Main Street Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winona, MN

Sources for this page

Verify at the official NPI Registry.