RIDGEVIEW MEDICAL CENTER NPI 1013045350

NPI Information

NPI: 1013045350
Provider Name: RIDGEVIEW MEDICAL CENTER

Doing Business As: RIDGEVIEW HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
501 SOUTH MAPLE ST
SUITE 1
WACONIA, MN
ZIP 55387
Phone: (952) 442-6030
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RIDGEVIEW MEDICAL CENTER is a hospice care community based in Waconia, MN. RIDGEVIEW MEDICAL CENTER NPI is 1013045350. The provider is registered as an organization entity type.
The provider Is Doing Business As Ridgeview Hospice.

The provider's business location address is:

501 SOUTH MAPLE ST
SUITE 1
WACONIA, MN
ZIP 55387-096
Phone: (952) 442-6030
Fax: (952) 442-6542

The provider's authorized official is Michael J Phelps .
The authorized official title is President/ceo and has the following contact phone number (952) 442-2191.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 12/8/2023.

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	251G00000X	Hospice Care, Community Based		333821	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	783590600	MEDICAID	MINNESOTA

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

NPI Synchronization or Removal

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