1497225031 NPI number — WINDOM AREA HOSPITAL

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497225031 NPI number — WINDOM AREA HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WINDOM AREA HOSPITAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497225031
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/05/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 339
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WINDOM
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
56101-0339
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
507-831-2400
Provider Business Mailing Address Fax Number:
507-831-5749

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2150 HOSPITAL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WINDOM
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56101-1287
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
507-831-2400
Provider Business Practice Location Address Fax Number:
507-831-5749
Provider Enumeration Date:
11/27/2018

Additional Information

Authorized Official

Authorized Official Last Name:
PEYERL
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF FINANCIAL OFFICER
Authorized Official Telephone Number:
507-831-0689

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1831187509 . This is a "MEDICARE DEFINED SWING BED UNIT" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: 1841288644 . This is a "GENERAL ACUTE CARE HOSPITAL" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".




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