CARRIS HEALTH - REDWOOD LLC (NPI# 1174005953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174005953 |
| Entity Type | Organization |
| Organization Name | CARRIS HEALTH - REDWOOD LLC |
| Practice Address |
1110 E Bridge St Redwood Falls MN 56283-1808 |
| Mailing Address |
100 Fallwood Rd Redwood Falls MN 56283-1828 |
| Practice Telephone | 5076374579 |
| Mailing Telephone | 5076374500 |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |
| Authorized Official Name | BRYAN LYDICK (CARRIS REDWOOD CEO) |
| Authorized Official Telephone | 5076374500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 383580 | MN | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053953588 | Carris Health - Redwood LLC | Durable Medical Equipment & Medical Supplies | 1100 E Broadway St, Redwood Falls, MN 56283-2247 | 2019-10-16 |
| 1396216412 | Carris Health - Redwood LLC | Clinic/Center | 100 Fallwood Rd, Redwood Falls, MN 56283-1828 | 2018-12-16 |
| 1265914048 | Carris Health - Redwood LLC | Nurse Anesthetist, Certified Registered | 100 Fallwood Rd, Redwood Falls, MN 56283-1828 | 2018-08-29 |
| 1386126167 | Carris Health - Redwood LLC | Home Health | 1110 E Bridge St, Redwood Falls, MN 56283-1808 | 2018-08-29 |
| 1285116061 | Carris Health - Redwood LLC | Medicare Defined Swing Bed Unit | 100 Fallwood Rd, Redwood Falls, MN 56283-1828 | 2018-08-29 |
| 1194206748 | Carris Health - Redwood LLC | General Acute Care Hospital | 100 Fallwood Rd, Redwood Falls, MN 56283-1828 | 2018-08-22 |
| Street Address |
1110 E BRIDGE ST |
| City | REDWOOD FALLS |
| State | MN |
| Zip Code | 56283-1808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386126167 | Carris Health - Redwood LLC | Home Health | 1110 E Bridge St, Redwood Falls, MN 56283-1808 | 2018-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073128153 | Michael W Flinn Dds, Pa | Dentist | 200 Firewood Drive, Redwood, MN 56283 | 2020-09-15 |
| 1851763932 | Thomas A Bruns | Nurse Anesthetist, Certified Registered | 30057 700th Avenue, Redwood Falls, MN 56283 | 2015-10-28 |
| 1073905881 | Cindy Moldan | Registered Nurse | 100 Fallwood Road, Redwood Area Hospital, Redwood Falls, MN 56283 | 2015-03-03 |
| 1922329903 | Amanda J Kittelson | Physician Assistant | Carris Health-redwood, 100 Fallwood Road, Redwood Falls, MN 56283 | 2010-06-14 |
| 1356474183 | Timothy Shane Brown | Dentist | 105 E Bridge St, Redwood Falls, MN 56283 | 2007-03-13 |
| 1356484513 | Sward-kemp Drug Co Inc | Pharmacy | 207 South Washington Street, Redwood Falls, MN 56283 | 2007-02-15 |
| 1699782169 | Janet L Marti | Nurse Practitioner | 1100 E. Broadway, Affiliated Community Medical Centers, Redwood Falls, MN 56283 | 2006-08-01 |
| 1124094842 | Cynthia K Gronau | Family Medicine | 1100 E Broadway, Redwood Falls, MN 56283 | 2006-02-23 |
| 1063493781 | Thomas C. Gross | Emergency Medicine | 1100 East Broadway, Affiliated Community Medical Centers, Redwood Falls, MN 56283 | 2005-11-09 |
| 1457872434 | Susan Buckley | Physical Therapist | 100 Fallwood Road, Redwood Area Hospital, Redwood Falls, MN 56283 | 2017-06-29 |
| Find all providers in zip 56283 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
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| 1073177986 | Hospice of Minnesota, LLC | Hospice Care, Community Based | 404 W Superior St Ste 290, Duluth, MN 55802-1504 | 2019-04-25 |
| 1336702000 | Elite Quality Services, LLC | Hospice Care, Community Based | 3555 Main St Ne, Minneapolis, MN 55418-1144 | 2019-04-18 |
| 1376008441 | Moments Hospice of Rochester LLC | Hospice Care, Community Based | 1816 2nd St Sw Ste B, Rochester, MN 55902-0819 | 2019-02-04 |
| 1366907446 | Moments Hospice of St Cloud LLC | Hospice Care, Community Based | 1030 4th St Se Ste 108, Saint Cloud, MN 56304-1217 | 2019-02-04 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| Find all providers with the same taxonomy | ||||
| City | REDWOOD FALLS |
| Zip Code | 56283 |
Please comment or provide details below to improve the information on CARRIS HEALTH - REDWOOD LLC.
| 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.