RIDGEVIEW CLINICS NPI 1225249881

NPI Information

NPI: 1225249881
Provider Name: RIDGEVIEW CLINICS

Doing Business As: RIDGEVIEW SPECIALTY CLINIC

Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
490 S MAPLE ST
SUITE 216
WACONIA, MN
ZIP 55387
Phone: (952) 442-2191
Get Directions

RIDGEVIEW CLINICS is a pulmonary disease internal medicine in Waconia, MN. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. RIDGEVIEW CLINICS NPI is 1225249881. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ridgeview Specialty Clinic.

The provider's business location address is:

490 S MAPLE ST
SUITE 216
WACONIA, MN
ZIP 55387-760
Phone: (952) 442-2191
Fax: (952) 442-8019

The provider's authorized official is Kristi Besse .
The authorized official title is Operations Manager and has the following contact phone number (952) 442-7890.

The CLIA number assigned to this NPI record is 24D0400684 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/25/2007 and was last updated on 8/17/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RH0003X	Internal Medicine	Hematology & Oncology	22924	MINNESOTA	No
2	207RS0012X	Internal Medicine	Sleep Medicine	49463	MINNESOTA	No
3	207RP1001X	Internal Medicine	Pulmonary Disease	49463	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C02820	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA	MEDICARE GROUP NUMBER
2	49463	OTHER	MINNESOTA	RAVI LICENSE NO.

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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