Provider Demographics
NPI:1841288644
Name:WINDOM AREA HOSPITAL
Entity type:Organization
Organization Name:WINDOM AREA HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
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 1:2150 HOSPITAL DR
Mailing Address - Street 2:PO BOX 339
Mailing Address - City:WINDOM
Mailing Address - State:MN
Mailing Address - Zip Code:56101-1287
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?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-06
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261Q00000X, 261QP1100X, 282NC0060X
MN282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD0120290Medicaid
TX158870901Medicaid
CO95012779Medicaid
CAXHSP43636Medicaid
CAXHSP33636Medicaid
IA0929356Medicaid
TX158870902Medicaid
WA3023835Medicaid
MN395845100Medicaid
TX158870901Medicaid
MN1925HWIOtherBLUE CROSS BLUE SHIELD
MN300706OtherUCARE
CO95012779Medicaid
CAXHSP33636Medicaid
IA0929356Medicaid
CAXHSP43636Medicaid
TX158870902Medicaid
SD5520290Medicaid
SD0120290Medicaid