Ridgeview Medical Center
Home Health in Waconia, MN. Organization (NPI-2).
NPI number1104954445
StatusActive
Last updated in NPPESDec 8, 2023
Details
- NPI
- 1104954445
- Entity type
- Organization (NPI-2)
- Legal business name
- Ridgeview Medical Center
- Organization subpart
- Yes
- Enumeration date
- Feb 28, 2007
- Certification date
- Dec 8, 2023
- Last updated
- Dec 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | 334660 | MN | Yes |
Other names
- Ridgeview Home Care Services (Doing Business As)
Practice location
501 South Maple StSuite 1
Waconia, MN 55387-0096
Phone 952-442-6030 · Fax 952-442-6542
Mailing address
501 South Maple StSuite 1
Waconia, MN 55387-0096
Phone 952-442-6030 · Fax 952-442-6542
Authorized official
Michael J Phelps
President/Ceo
9524422191
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