Provider Demographics
NPI:1497225031
Name:WINDOM AREA HOSPITAL
Entity type:Organization
Organization Name:WINDOM AREA HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:PEYERL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-831-0689
Mailing Address - Street 1:PO BOX 339
Mailing Address - Street 2:
Mailing Address - City:WINDOM
Mailing Address - State:MN
Mailing Address - Zip Code:56101-0339
Mailing Address - Country:US
Mailing Address - Phone:507-831-2400
Mailing Address - Fax:507-831-5749
Practice Address - Street 1:2150 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:WINDOM
Practice Address - State:MN
Practice Address - Zip Code:56101-1287
Practice Address - Country:US
Practice Address - Phone:507-831-2400
Practice Address - Fax:507-831-5749
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WINDOM AREA HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-11-27
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1831187509OtherMEDICARE DEFINED SWING BED UNIT
MN1841288644OtherGENERAL ACUTE CARE HOSPITAL