SAINT ELIZABETHS HOSPITAL OF WABASHA INC (NPI# 1073050274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073050274 |
| Entity Type | Organization |
| Organization Name | SAINT ELIZABETHS HOSPITAL OF WABASHA INC |
| Other Organization Name | GUNDERSEN ST. ELIZABETH'S HOSPITAL AND CLINICS |
| Practice Address |
1200 Grant Blvd W Wabasha MN 55981-1042 |
| Practice Telephone | 6515654531 |
| Practice Fax Number | 6515652482 |
| Mailing Telephone | 6515654531 |
| Mailing Fax Number | 6515652482 |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2020-09-01 |
| Authorized Official Name | JOHN K WOLFE (CFO) |
| Authorized Official Telephone | 6515655553 |
| Is Organization Subpart | Y |
| Parent Organization Name | SAINT ELIZABETHS HOSPITAL OF WABASHA INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Gundersen St. Elizabeth's Hospital and Clinics | Doing Business As Name - Organization |
| Saint Elizabeth's Community Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659355600 | Saint Elizabeths Hospital of Wabasha Inc | Clinical Medical Laboratory | 1200 Grant Blvd W, Wabasha, MN 55981-1098 | 2005-12-02 |
| 1982180048 | Saint Elizabeths Hospital of Wabasha Inc | Clinic/Center | 204 S Main St, Alma, WI 54610-7722 | 2018-07-12 |
| 1477068914 | Saint Elizabeths Hospital of Wabasha Inc | Clinic/Center | 1200 Grant Blvd W, Wabasha, MN 55981-1042 | 2017-12-06 |
| 1376062802 | Saint Elizabeths Hospital of Wabasha Inc | Clinic/Center | 204 S Main St, Alma, WI 54610-7722 | 2017-09-15 |
| 1306864939 | Saint Elizabeths Hospital of Wabasha Inc | Skilled Nursing Facility | 1200 Grant Blvd W, Wabasha, MN 55981-1042 | 2006-07-18 |
| 1053346825 | Saint Elizabeths Hospital of Wabasha Inc | Home Health | 1200 Grant Blvd W, Wabasha, MN 55981-1042 | 2006-07-11 |
| Street Address |
1200 GRANT BLVD W |
| City | WABASHA |
| State | MN |
| Zip Code | 55981-1042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659355600 | Saint Elizabeths Hospital of Wabasha Inc | Clinical Medical Laboratory | 1200 Grant Blvd W, Wabasha, MN 55981-1098 | 2005-12-02 |
| 1851858112 | Paula Kae Thompson | Dietitian, Registered | 1200 Grant Blvd W, Wabasha, MN 55981-1042 | 2019-02-22 |
| 1245727056 | Malinda Jean Wise | Social Worker | 1200 Grant Blvd W, Wabasha, MN 55981 | 2018-04-17 |
| 1376047431 | Brady Ritscher | Pharmacist | 1200 Grant Blvd W, Wabasha, MN 55981-1042 | 2018-03-22 |
| 1477068914 | Saint Elizabeths Hospital of Wabasha Inc | Clinic/Center | 1200 Grant Blvd W, Wabasha, MN 55981-1042 | 2017-12-06 |
| 1851819163 | Carol Ann Groth | Occupational Therapy Assistant | 1200 Grant Blvd W, Wabasha, MN 55981-1042 | 2017-09-07 |
| 1164977880 | Elizabeth Nofsinger | Physical Therapist | 1200 Grant Blvd W, Wabasha, MN 55981-1042 | 2016-08-23 |
| 1053785840 | Matthew Wagner | Registered Nurse | 1200 Grant Blvd W, Wabasha, MN 55981 | 2015-11-17 |
| 1518339415 | Ryan Randy Reidt | Physical Therapist | 1200 Grant Blvd W, Wabasha, MN 55981-1042 | 2015-10-30 |
| 1912334913 | St. Elizabeth's Outpatient Pharmacy | Pharmacy | 1200 Grant Blvd W, Wabasha, MN 55981-1042 | 2013-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396266003 | Lc Edelbach Company LLC | Pharmacy | 160 Main Street West, Wabasha, MN 55981 | 2017-07-03 |
| 1154372217 | Robert James Mann | Dentist | 115 E Main Street, Wabasha, MN 55981 | 2006-05-13 |
| 1447772249 | Katlyn Jo Jessen | Counselor | 611 Broadway Ave Ste 100, Wabasha, MN 55981 | 2017-07-13 |
| 1760783492 | Anna Emily Battcher | Pharmacist | 1200 5th Grant Blvd, Wabasha, MN 55981-1042 | 2010-11-11 |
| 1679636393 | Ursula I Miller | Family Medicine | 1202 Grant Blvd W, Wabasha, MN 55981-1042 | 2006-12-18 |
| 1437139730 | Marc J. Hampl | Physician Assistant | 1202 5th Grant Blvd, Wabasha, MN 55981-1042 | 2006-01-20 |
| 1184720567 | Fred Mcrae Roberson | Family Medicine | 1202 5th Grant Blvd, Lake City Medical Center, Wabasha, MN 55981-1042 | 2006-09-15 |
| 1316980907 | Mark Wayne Bingham | Physician Assistant | 1202 5th Grant Blvd, Wabasha, MN 55981-1042 | 2006-06-13 |
| 1558331090 | Valerie D. Mcgrath | Physician Assistant | 1202 5th Grant Blvd, Wabasha, MN 55981-1042 | 2006-01-26 |
| 1659341212 | Brian E. Kelly | Family Medicine | 1202 5th Grant Blvd, Wabasha, MN 55981-1042 | 2006-01-25 |
| Find all providers in zip 55981 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871191403 | Cham Clinic LLC | Clinic/Center | 7362 University Ave Ne Ste 206, Fridley, MN 55432-3151 | 2020-10-15 |
| 1003434622 | Lost Lake Optical Company | Clinic/Center | 5240 Shady Island Cir, Mound, MN 55364-9222 | 2020-07-09 |
| 1811513310 | Prescribed By LLC | Clinic/Center | 701 Washington Ave N Ste 111-321, Minneapolis, MN 55401-2822 | 2020-06-19 |
| 1992320014 | Jtp Professional Service Corporation | Clinic/Center | 2038 Ford Pkwy # 444, Saint Paul, MN 55116-1931 | 2020-06-15 |
| 1689299125 | Altru Health System | Clinic/Center | 1st & Roosevelt, Karlstad, MN 56732 | 2020-06-10 |
| 1831710409 | Webmed LLC | Clinic/Center | 925 E Superior St Ste 113, Duluth, MN 55802-2253 | 2020-05-05 |
| 1073149779 | Functional Chiropractic Rehab, Pllc | Clinic/Center | 1901 Madison Ave Ste 120, Mankato, MN 56001-6267 | 2020-03-14 |
| 1225676067 | Liana Healthcare P.ll.c | Clinic/Center | 8348 Beard Rd, Bloomington, MN 55431-1028 | 2019-12-11 |
| 1245875293 | Fairview Clinics | Clinic/Center | 12912 Farnham Ave N, White Bear Lake, MN 55110-5929 | 2019-11-14 |
| 1275175242 | Hye-kyong Kim Therapy LLC | Clinic/Center | 1145 Grand Ave # 101, Saint Paul, MN 55105-2629 | 2019-10-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SAINT ELIZABETHS HOSPITAL OF WABASHA 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.