MEDICARE: MADELIA HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1861185282
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MADELIA HEALTH

Provider Business Mailing Address
First Line	:	121 DREW AVE SE
Second Line	:
City	:	MADELIA
State	:	MN
Zip	:	56062-1841
Country	:	US
Telephone Number	:	507-642-3255
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 E PRINCE ST
Second Line	:
City	:	LAKE CRYSTAL
State	:	MN
Zip	:	56055-2043
Country	:	US
Telephone Number	:	507-726-2136
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING COORDINATOR
Name	:	SAMANTHA KNAKMUHS
Credential	:
Telephone Number	:	507-642-3255

Provider Enumeration Date	:	05/31/2023
Last Update Date	:	05/11/2026

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Directions to “MADELIA HEALTH ” Practice Location

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