MEDICARE: SAINT ANNE OF WINONA

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	261QA0600X	Adult Day Care Clinic/Center
2	314000000X	Skilled Nursing Facility	328422	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134123532
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAINT ANNE OF WINONA

Provider Business Mailing Address
First Line	:	1347 W BROADWAY ST
Second Line	:
City	:	WINONA
State	:	MN
Zip	:	55987-2327
Country	:	US
Telephone Number	:	507-454-3621
Fax Number	:	507-452-2556

Provider Business Practice Location Address
First Line	:	1347 W BROADWAY ST
Second Line	:
City	:	WINONA
State	:	MN
Zip	:	55987-2327
Country	:	US
Telephone Number	:	507-454-3621
Fax Number	:	507-452-2556

Authorized Official
Title or Position	:	ADMINISTRATOR, CEO
Name	:	CAROL EHLINGER
Credential	:
Telephone Number	:	507-205-6208

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	05/13/2024

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Directions to “SAINT ANNE OF WINONA ” Practice Location

Language	Start Address	Practice Location

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