RIDGEVIEW MEDICAL CENTER (NPI# 1275608457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275608457 |
Entity Type | Organization |
Organization Name | RIDGEVIEW MEDICAL CENTER |
Practice Address |
500 S Maple St Waconia MN 55387-1752 |
Practice Telephone | 9524422191 |
Practice Fax Number | 9524428052 |
Mailing Telephone | 9524422191 |
Mailing Fax Number | 9524428052 |
Enumeration Date | 2006-11-22 |
Last Update Date | 2013-04-01 |
Authorized Official Name | MR. ROBERT ALEXANDER STEVENS (PRESIDENT CEO) |
Authorized Official Telephone | 9524422191 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 341600000X | Ambulance | 0254 | MN | Transportation Services |
N | 341600000X | Ambulance | 0046 | MN | Transportation Services |
N | 341600000X | Ambulance | 0021 | MN | Transportation Services |
Y | 282N00000X | General Acute Care Hospital | 331057 | MN | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 975245500 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104954445 | Ridgeview Medical Center | Home Health | 501 South Maple St, Suite 1, Waconia, MN 55387-0096 | 2007-02-28 |
1821096348 | Ridgeview Medical Center | Durable Medical Equipment & Medical Supplies | 501 S Maple St, Suite 2, Waconia, MN 55387-0096 | 2005-07-08 |
1407461072 | Ridgeview Medical Center | Family Medicine | 111 Hundertmark Rd, Chaska, MN 55318-4551 | 2020-09-10 |
1811545379 | Ridgeview Medical Center | General Acute Care Hospital | 500 S Maple St, Waconia, MN 55387-1752 | 2019-08-28 |
1295276483 | Ridgeview Medical Center | Clinic/Center | 551 4th St N, Winsted, MN 55395-4523 | 2017-03-20 |
1528311636 | Ridgeview Medical Center | Psychiatric Unit | 500 S Maple St, Waconia, MN 55387-1752 | 2012-10-26 |
1528364429 | Ridgeview Medical Center | Nurse Anesthetist, Certified Registered | 500 S Maple St, Waconia, MN 55387-1752 | 2011-02-10 |
1811174923 | Ridgeview Medical Center | Radiology | 500 S Maple St, Waconia, MN 55387-1752 | 2008-01-31 |
1013045350 | Ridgeview Medical Center | Hospice Care, Community Based | 501 South Maple St, Suite 1, Waconia, MN 55387-0096 | 2007-02-28 |
1033262902 | Ridgeview Medical Center | Non-Pharmacy Dispensing Site | 500 S Maple St, Waconia, MN 55387-1752 | 2007-01-22 |
Street Address |
500 S MAPLE ST |
City | WACONIA |
State | MN |
Zip Code | 55387-1752 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083611701 | Mary K. Jordan | Social Worker | 500 S Maple St, Waconia, MN 55387-1752 | 2005-07-07 |
1811545379 | Ridgeview Medical Center | General Acute Care Hospital | 500 S Maple St, Waconia, MN 55387-1752 | 2019-08-28 |
1548744519 | Karissa Lyn Stromley | Nurse Anesthetist, Certified Registered | 500 S Maple St, Waconia, MN 55387 | 2018-09-17 |
1598245128 | Jennifer R Finger | Nurse Practitioner | 500 S Maple St, Waconia, MN 55387-1791 | 2018-08-14 |
1609384031 | Abby Therese Messer | Social Worker | 500 S Maple St, Waconia, MN 55387-1752 | 2018-01-19 |
1407364565 | Nicole Marcouiller | Social Worker | 500 S Maple St, Waconia, MN 55387-1752 | 2018-01-10 |
1326575341 | Cady Welch | Student in an Organized Health Care Education/Training Program | 500 S Maple St, Waconia, MN 55387-1752 | 2017-05-22 |
1396272159 | Angelica Stoltz | Nurse Practitioner | 500 S Maple St, Waconia, MN 55387-1752 | 2017-05-11 |
1033650627 | Sara Maurer | Nurse Practitioner | 500 S Maple St, Waconia, MN 55387-1752 | 2017-03-15 |
1700328689 | Brady Perry Griffith | Physician Assistant | 500 S Maple St, Waconia, MN 55387-1752 | 2016-11-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023626256 | Katelyn Neufeld | Midwife | Western Obgyn 560 S Maple St, Suite 130, Waconia, MN 55387 | 2020-07-14 |
1871074674 | Ashley Bea Johnson | Registered Nurse | 1866 Sandbar Cir, Waconia, MN 55387 | 2018-08-28 |
1740642529 | Ryan Christenson | Chiropractor | 32 E Main St., Waconia, MN 55387 | 2016-03-22 |
1942638481 | Katie Elizabeth Leuning-pavek | Marriage & Family Therapist | 1657 Interlaken Ct, Waconia, MN 55387 | 2013-10-18 |
1083964837 | Auburn Meadows, LLC | Assisted Living Facility | 591 S. Cherry Dr, Waconia, MN 55387 | 2012-09-19 |
1114238821 | Jalissa Joy Kruckman | Dentist | 576 Cherry Dr, Waconia, MN 55387 | 2010-06-28 |
1194990143 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 121 Depot Dr, Waconia, MN 55387 | 2008-04-29 |
1417156662 | Heather Anne Noel Tuttle | Optometrist | 753 Marketplace Drive, Waconia, MN 55387 | 2007-07-17 |
1366507436 | Waconia School District | Local Education Agency (LEA) | 512 Industrial Blvd, Waconia, MN 55387 | 2006-12-27 |
1295898872 | Haven Chemical Health Systems | Counselor | 233 1st St W, Waconia, MN 55387 | 2006-12-18 |
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Taxonomy Code | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811545379 | Ridgeview Medical Center | General Acute Care Hospital | 500 S Maple St, Waconia, MN 55387-1752 | 2019-08-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811372360 | Karin Costin | General Acute Care Hospital | 803 E 28th St, Minneapolis, MN 55407 | 2015-07-27 |
1619317070 | Allegheny General Hospital | General Acute Care Hospital | 724 4th St Sw, Rochester, MN 55902-2913 | 2013-07-01 |
1003196361 | Fairview | General Acute Care Hospital | 21282 Inspiration Ct, Lakeville, MN 55044-6027 | 2011-08-18 |
1356652481 | Spectrum Health | General Acute Care Hospital | 25850 Brolin Beach Rd, Detroit Lakes, MN 56501-7978 | 2010-06-23 |
1093960742 | Fairview Health Services | General Acute Care Hospital | 13017 Lakeview Dr, Burnsville, MN 55337-3857 | 2008-11-22 |
1144477282 | Allina Home Care Hospice and Palliative Care | General Acute Care Hospital | 1055 Westgate Dr. Suite 100, St. Paul, MN 55114-1451 | 2008-08-20 |
1104029388 | Shannon Carl Nelson | General Acute Care Hospital | Highway 1 Box 497, Red Lake, MN 56671 | 2007-06-06 |
1356559983 | Rtgmedical | General Acute Care Hospital | 2186 Baneberry Way W, Chanhassen, MN 55317 | 2007-05-18 |
1730232307 | Jack Ramon Lees | General Acute Care Hospital | 2146 Lemay Lake Dr, Mendota Heights, MN 55120-1183 | 2007-01-18 |
1245349257 | Russell Vincent Luepker | General Acute Care Hospital | 1300 S 2nd St, Suite 300, Minneapolis, MN 55454-1075 | 2006-08-30 |
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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.