Healthcare Provider Details

I. General information

NPI: 1295789352
Provider Name (Legal Business Name): WINONA HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 05/18/2021
Certification Date: 05/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 MANKATO AVE
WINONA MN
55987-5377
US

IV. Provider business mailing address

855 MANKATO AVE PO BOX 5600
WINONA MN
55987-5377
US

V. Phone/Fax

Practice location:
  • Phone: 507-454-3650
  • Fax: 507-457-4413
Mailing address:
  • Phone: 507-454-3650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number331049
License Number StateMN

VIII. Authorized Official

Name: MS. RACHELLE SCHULTZ
Title or Position: CEO
Credential:
Phone: 507-457-4300