Organization
WINONA HEALTH SERVICES
Active
Other names
Winona Health Services Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
JAN BROSNAHAN (CFO)
(507) 454-3650
Entity
Organization
Contact information
Practice address
855 MANKATO AVE, WINONA, MN 55987-4868
(507) 457-4321
(507) 474-3224
Mailing address
855 MANKATO AVE, PO BOX 5600, WINONA, MN 55987-4868
(507) 457-4321
(507) 474-3224
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
282N00000X
General Acute Care Hospital
331049
MN
332B00000X
Durable Medical Equipment & Medical Supplies
350478
MN
332BC3200X
Customized Equipment (DME)
350478
MN
332H00000X
Eyewear Supplier
347609
MN
335E00000X
Prosthetic/Orthotic Supplier
350478
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11004400
—
WI
05
—
124847200
—
MN
01
—
24D0041006
CLIA
—
01
—
38040CO
BLUE SHIELD
MN
Enumeration date
08/19/2009
Last updated
11/24/2021
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