ROGERS MEMORIAL HOSPITAL INC (NPI# 1013420561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013420561 |
| Entity Type | Organization |
| Organization Name | ROGERS MEMORIAL HOSPITAL INC |
| Other Organization Name | ROGERS BEHAVIORAL HEALTH |
| Practice Address |
6442 City West Pkwy Ste 200 Eden Prairie MN 55344-3245 |
| Mailing Address |
34700 Valley Rd Oconomowoc WI 53066-4500 |
| Practice Telephone | 8445998959 |
| Practice Fax Number | 7633182801 |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2019-10-10 |
| Authorized Official Name | ARNOLD STUEBER (CFO) |
| Authorized Official Telephone | 2626466318 |
| Authorized Official Credential | MBA, CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Rogers Behavioral Health | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 576 Bielenberg Dr Ste 180, Woodbury, MN 551251736 | 8445998959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205337961 | Rogers Memorial Hospital Inc | Clinic/Center | 2002 N Lois Ave Ste 400, Tampa, FL 33607-2394 | 2018-02-27 |
| 1699288142 | Rogers Memorial Hospital Inc | Clinic/Center | 1 Winding Dr Ste 106, Philadelphia, PA 19131-2907 | 2017-11-07 |
| 1700387461 | Rogers Memorial Hospital Inc | Clinic/Center | 4230 Harding Pike Ste 707, Nashville, TN 37205-2031 | 2018-02-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ROGERS MEMORIAL HOSPITAL INCORPORATED | 34700 Valley Rd, Oconomowoc, WI 53066-4500 |
| Street Address |
6442 CITY WEST PKWY STE 200 |
| City | EDEN PRAIRIE |
| State | MN |
| Zip Code | 55344-3245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366000572 | Hekima Care Inc. | Case Management | 8725 Columbine Rd Unit 46026, Eden Prairie, MN 55344 | 2019-06-03 |
| 1528537768 | Smile Eden Prairie | Dentist | 6600 City W. Pkwy #315, Eden Prairie, MN 55344 | 2018-11-16 |
| 1215439781 | Angelo Scherer | Counselor | 11010 Prairie Lakes Drive Suite 350, Eden Prairie, MN 55344 | 2018-03-01 |
| 1497272678 | Matthew Lynn | Occupational Therapist | 431 Prairie Center Drive, Eden Prairie, MN 55344 | 2017-08-28 |
| 1184178956 | Eric R Barrett | Audiologist | Starkey Center for Excellence, 6700 Washington Ave S, Eden Prairie, MN 55344 | 2016-08-10 |
| 1609218676 | Nations Care Link | Nurse Practitioner | 11000 Praire Lakes Dr, Suite 600, Eden Praire, MN 55344 | 2013-07-19 |
| 1497020390 | Alixa Rx LLC | Pharmacy | 10132 West 76th St, Eden Prairie, MN 55344 | 2012-03-12 |
| 1831467331 | Eagle Ridge Academy | Local Education Agency (LEA) | 7255 Flying Cloud Drive, Eden Prairie, MN 55344 | 2011-12-12 |
| 1205154739 | Eden Prairie School District 272 | Local Education Agency (LEA) | 8100 School Road, Eden Prairie, MN 55344 | 2010-05-07 |
| 1992030613 | Spinal Health | Chiropractor | 12100 Singletree Ln #129, Eden Prairie, MN 55344 | 2009-10-14 |
| Find all providers in zip 55344 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265951529 | Journey of The Heart, Inc. | Clinic/Center | 11800 Singletree Lane, #312, Eden Prairie, MN 55344 | 2017-09-18 |
| 1841650439 | Healing & Restoration Consulting LLC | Clinic/Center | 6385 Old Shady Oak Rd Ste 250, Eden Prairie, MN 55344-7705 | 2016-02-25 |
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| Find all providers with the same taxonomy | ||||
| City | EDEN PRAIRIE |
| Zip Code | 55344 |
Please comment or provide details below to improve the information on ROGERS MEMORIAL HOSPITAL INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.