Organization · Type 2 NPI

Ridgeview Medical Center

Community Based Hospice Care Agency · Waconia, MN

NPI number 1013045350 Active

Practice location

501 South Maple St, Suite 1
Waconia, MN 55387-0096

Fax (952) 442-6542

Specialties and licenses

Taxonomy	Code	License
Community Based Hospice Care Agency Primary	251G00000X	333821 (MN)

Community Based Hospice Care Agency: Definition to come...

Another provider at this address

Ridgeview Medical CenterHome Health Agency Waconia, MN NPI 1104954445

NPI record

NPI: 1013045350
Entity type: Organization (Type 2)
Issued: Feb 28, 2007
Last updated: Dec 8, 2023
Status: Active
Subpart: Yes of Ridgeview Medical Center

Other names

<unavail>
Ridgeview Hospice · doing business as
Ridgeview Hospice · doing business as

Authorized official

Michael J Phelps
President/ceo
(952) 442-2191

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About NPI 1013045350

Ridgeview Medical Center's National Provider Identifier is 1013045350, issued on Feb 28, 2007. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Waconia, MN. The record was last updated on Dec 8, 2023.