AVERA GRANITE FALLS NPI 1700429644

NPI Information

  • NPI: 1700429644
  • Provider Name: AVERA GRANITE FALLS
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: AVERA MEDICAL GROUP GRANITE FALLS
  • CLIA Number: 24D2159579
  • Address: 345 10TH AVE
    GRANITE FALLS, MN
    ZIP 56241
  • Phone: (320) 564-3111

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NPI Details

AVERA GRANITE FALLS is a family medicine in Granite Falls, MN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. AVERA GRANITE FALLS NPI is 1700429644. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Avera Medical Group Granite Falls.

The provider's business location address is:

345 10TH AVE
GRANITE FALLS, MN
ZIP 56241-442
Phone: (320) 564-3111

The provider's authorized official is Debra Streier .
The authorized official title is President/ceo and has the following contact phone number (507) 537-9160.

The CLIA number assigned to this NPI record is 24D2159579 - other - coumadin clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/23/2019 and was last updated on 6/30/2021.

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
1207Q00000XFamily MedicineYes
2207R00000XInternal MedicineNo
3363A00000XPhysician AssistantNo
4363L00000XNurse PractitionerNo
5367500000XNurse Anesthetist, Certified RegisteredNo

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: 3/30/2025

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