HIAWATHA MEDICAL INC (NPI# 1144250481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144250481 |
| Entity Type | Organization |
| Organization Name | HIAWATHA MEDICAL INC |
| Other Organization Name | HIAWATHA HOMECARE |
| Practice Address |
4920 Moundview Dr Suite B Red Wing MN 55066-1100 |
| Practice Telephone | 6513882223 |
| Mailing Telephone | 6513882223 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. STEPHEN L STAATS (CFO) |
| Authorized Official Telephone | 6513882223 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 331637 | MN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA INS PROVIDER # | 59-00045 | 01 |
| WI | 41533600 | 05 | |
| MN | PREFFERED ONE PROVIDER # | 1007436 | 01 |
| MN | BCBCMN PROVIDER # | 9266HI | 01 |
| MN | UCARE PROVIDER # | 125651 | 01 |
| Other Name | Type Code |
|---|---|
| Hiawatha Homecare | Doing Business As Name - Organization |
| Street Address |
4920 MOUNDVIEW DR SUITE B |
| City | RED WING |
| State | MN |
| Zip Code | 55066-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689680357 | Medical Equipment Inc. | Durable Medical Equipment & Medical Supplies | 4920 Moundview Dr, Suite B, Red Wing, MN 55066-1100 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750850376 | Midwest Transit | Transportation Broker | 217 Plum Street, Suite #220, Red Wing, MN 55066 | 2018-11-14 |
| 1407343221 | Ethos Physical Therapy LLC | Physical Therapist | 2030 Neal St, Redwing, MN 55066 | 2018-04-17 |
| 1255759205 | Brittney Joy Amdahl | Acupuncturist | 201 East Ave., Suite D, Red Wing, MN 55066 | 2014-04-06 |
| 1689807000 | Sarah Jean Haar | Massage Therapist | 416 W. 3rd St., Red Wing, MN 55066 | 2009-09-02 |
| 1437395241 | George Edward Jackish | Internal Medicine | 28089 Bayview Drive, Red Wing, MN 55066 | 2008-12-29 |
| 1750554754 | Jess Brehmer | Orthopaedic Surgery | 701 Hewitt Bvld, Red Wing, MN 55066 | 2008-04-10 |
| 1992825517 | Joseph H. Sevlie | Chiropractor | 1626 W. 3rd St., Red Wing, MN 55066 | 2007-03-29 |
| 1134269392 | City of Red Wing | Ambulance | 315 W 4th St, Red Wing, MN 55066 | 2007-02-07 |
| 1225196512 | Kathryn Zoff Seivert Phd Lp Pa | Psychologist | 1751 Reichert Ave, Red Wing, MN 55066 | 2006-12-05 |
| 1417024217 | Kevin Curtis Smith | Chiropractor | 212 Fulton, Red Wing, MN 55066 | 2006-11-29 |
| Find all providers in zip 55066 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417509472 | Omega Home Healthcare LLC | Home Health | 129 Hedin Ave Ste 101, Red Wing, MN 55066-1915 | 2019-07-10 |
| 1952716052 | Ebenezer Society, LLC | Home Health | 470 Hewitt Blvd, Red Wing, MN 55066-2862 | 2014-06-26 |
| 1588809065 | Pronto Health Services Inc | Home Health | 2000 West Main Street, Suite 336, Red Wing, MN 55066-1987 | 2008-12-11 |
| 1053589358 | Fairview Woods | Home Health | 470 Fairview Blvd, Red Wing, MN 55066-2862 | 2008-02-20 |
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| 1821699182 | Immediate Home Health Care LLC | Home Health | 2817 Anthony Ln S Ste 210, St Anthony, MN 55418-2488 | 2020-11-03 |
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| 1326646191 | Rose Pratt | Home Health | 121 83rd Ave Ne Apt 310, Fridley, MN 55432-1893 | 2020-10-14 |
| 1255939369 | Mn Health LLC | Home Health | 784 Cougar Dr, Eagan, MN 55123-2069 | 2020-10-12 |
| 1942807672 | Twin Cities Group Homes LLC | Home Health | 711 22nd Ave Ne, Minneapolis, MN 55418-3601 | 2020-10-06 |
| 1801493721 | Shifaa Care Inc | Home Health | 7038 Brooklyn Blvd Unit D, Brooklyn Center, MN 55429-1370 | 2020-10-04 |
| 1841807450 | Shire Homecare Agency | Home Health | 618 9th Ave S Apt 307, Minneapolis, MN 55415-4608 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
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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.