AVERA MARSHALL NPI 1407330301

NPI Information

  • NPI: 1407330301
  • Provider Name: AVERA MARSHALL
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Doing Business As: AVERA MEDICAL GROUP CARLSON
  • CLIA Number: 24D0405550
  • Address: 1521 CARLSON ST
    MARSHALL, MN
    ZIP 56258
  • Phone: (507) 532-9631

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NPI Details

AVERA MARSHALL is a multi-specialty clinic center in Marshall, MN. AVERA MARSHALL NPI is 1407330301. The provider is registered as an organization entity type.
The provider Is Doing Business As Avera Medical Group Carlson.

The provider's business location address is:

1521 CARLSON ST
MARSHALL, MN
ZIP 56258-626
Phone: (507) 532-9631

The provider's authorized official is Debbie Streier .
The authorized official title is Ceo and has the following contact phone number (507) 537-9160.

The CLIA number assigned to this NPI record is 24D0405550 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/18/2018 and was last updated on 12/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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