Provider Type Icon

HIAWATHA MEDICAL INC NPI 1144250481


NPI Information

NPI: 1144250481
Provider Name: HIAWATHA MEDICAL INC

Doing Business As: HIAWATHA HOMECARE

Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
4920 MOUNDVIEW DR
SUITE B
RED WING, MN
ZIP 55066
Phone: (651) 388-2223
Get Directions

HIAWATHA MEDICAL INC is a home health in Red Wing, MN. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. HIAWATHA MEDICAL INC NPI is 1144250481. The provider is registered as an organization entity type.
The provider Is Doing Business As Hiawatha Homecare.

The provider's business location address is:

4920 MOUNDVIEW DR
SUITE B
RED WING, MN
ZIP 55066-100
Phone: (651) 388-2223

The provider's authorized official is Stephen L Staats .
The authorized official title is Cfo and has the following contact phone number (651) 388-2223.

The enumeration date for this NPI number is 7/3/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome Health331637MINNESOTAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
159-00045OTHERMINNESOTAMEDICA INS PROVIDER #
241533600MEDICAIDWISCONSIN
31007436OTHERMINNESOTAPREFFERED ONE PROVIDER #
49266HIOTHERMINNESOTABCBCMN PROVIDER #
5125651OTHERMINNESOTAUCARE PROVIDER #

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.