MEDICARE: COUNTY 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	251K00000X	Public Health or Welfare Agency	328348	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	:	1538163977
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF WINONA

Provider Business Mailing Address
First Line	:	60 W 3RD ST
Second Line	:
City	:	WINONA
State	:	MN
Zip	:	55987-3431
Country	:	US
Telephone Number	:	507-457-6400
Fax Number	:

Provider Business Practice Location Address
First Line	:	60 W 3RD ST
Second Line	:
City	:	WINONA
State	:	MN
Zip	:	55987-3431
Country	:	US
Telephone Number	:	507-457-6400
Fax Number	:	507-454-9388

Authorized Official
Title or Position	:	NURSING DIRECTOR
Name	:	MS. SUSAN KAY GOODEW
Credential	:	RN, BSN
Telephone Number	:	507-457-6400

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	03/30/2011

Similar Medicare Providers

1013928894 — TODD LAWRENCE FUNK DDS
Practice Location Address:

80 W 3RD ST
WINONA, MN
55987-3431

Practice Phone: 507-452-2670
Practice Fax: 507-452-0327

1194843284 — SEMCAC
Practice Location Address:

76 W 3RD ST
WINONA, MN
55987-3431

Practice Phone: 507-452-4307
Practice Fax: 507-457-0564

1508105263 — MRS. JENNY LOU THOMPSON H.I.S
Practice Location Address:

52 W 3RD ST
WINONA, MN
55987-3431

Practice Phone: 507-457-9830
Practice Fax: 507-457-9834

1316383318 — MRS. TRINA JOY HAPPEL R.N
Practice Location Address:

76 W 3RD ST
WINONA, MN
55987-3431

Practice Phone: 507-452-4307
Practice Fax: 507-457-0564

1649616640 — CHRISTINA FEINE R.N
Practice Location Address:

76 W 3RD ST
WINONA, MN
55987-3431

Practice Phone: 507-452-4307
Practice Fax: 507-457-0564

1255077855 — BLAKE JOHN PAUL BETCHER
Practice Location Address:

223 CENTER ST
WINONA, MN
55987-3595

Practice Phone: 507-474-4840
Practice Fax:

Directions to “COUNTY OF WINONA ” Practice Location

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