Winneshiek Medical Center
Organization Active NPI Multi-Specialty Clinic/Center · Decorah, IA
NPI 1992854863 · NPPES record last updated Jun 29, 2023
Key facts
- NPI
- 1992854863
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- License
- 960127H (IA)
- Legal business name
- WINNESHIEK MEDICAL CENTER
- Practice address
- 901 Montgomery St
Decorah, IA 52101-2325 - Phone
- (563) 382-2911
- Fax
- (563) 387-3102
- NPI assigned
- Jan 9, 2007
- Organization subpart
- No
Authorized official
- Name
- Steven Slessor
- Title
- Cao
- Phone
- (563) 387-3145
Other NPIs on the same Medicare enrollment 6
Other NPIs with the same Medicare PAC ID 8
Practitioners 191
-
Scott M Bohner, DO
-
Erik David Brink, D.O.
-
Emily Connor, M.D.
-
Arin Deering, ARNP
-
Julia Clara Dennis, CRNA
-
Alexandra Engelken, DPT
-
Rebecca L Gesing, APNP
-
Catherine Greving, M.A.
-
Ann Elizabeth Grimstad, ARNP
-
Amanda Hartley, MOT
-
Elizabeth K Leschensky, FNPC
-
Benjamin Avi Levinson, CRNA
-
Heather Kay Levinson, MSN, ARNP
-
Carol Ludeking, FNP-BC, DNP
-
Tiffany R Malanaphy, CRNA
-
Thomas Marquardt, DPM
-
Tyler C Menke, MD
-
Rebecca Lynn Moonen, DPT
-
Samantha Jo Mikota Reicks, DNP, ARNP
-
Anna M. Ryan, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040316001437 | IA | Part B Supplier - Clinic/Group Practice | 4688582935 |
Receives reassigned benefits from 178 practitioners 6 other NPIs on this enrollment Practice locations: Decorah, IA; West Union, IA; Ossian, IA; Fayette, IA; Cresco, IA |
National Provider Directory
Locations
2479 River Rd
Decorah, IA 52101
Phone (563) 382-9691
200 First St NW
Rochester, MN 55905
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | 960127H | IA | Yes |
Addresses
Primary practice location
901 Montgomery St
Decorah, IA 52101-2325
Mailing address
901 Montgomery St
Decorah, IA 52101-2325
Phone (563) 382-2911
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1100830 | Medicaid | IA | |
| 0102243 | Medicaid | IA | |
| 2100830 | Medicaid | IA | |
| 0100830 | Medicaid | IA | |
| 4100830 | Medicaid | IA | |
| 5100830 | Medicaid | IA | |
| 0121285 | Medicaid | IA | |
| 0704253 | Medicaid | IA |
Other names
- WinnMed Decorah Clinic
Other providers in Decorah, IA
- Winneshiek Medical Center
- Winneshiek Medical Center
- Winneshiek Medical Center
- Winneshiek Medical Center
- Winneshiek Medical Center
- Christopher Jared Winters
- Karla Jean Wolfs
- Bruce W Wulfsberg
- Sarah J Wymer
- Christian R. Wyse
All providers in Decorah, IA · Multi-Specialty Clinic/Center in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.