CARRIS HEALTH - REDWOOD LLC (NPI# 1285116061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285116061 |
| Entity Type | Organization |
| Organization Name | CARRIS HEALTH - REDWOOD LLC |
| Practice Address |
100 Fallwood Rd Redwood Falls MN 56283-1828 |
| Practice Telephone | 5076374500 |
| Mailing Telephone | 5076374500 |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |
| Authorized Official Name | BRYAN LYDICK (CARRIS REDWOOD CEO) |
| Authorized Official Telephone | 5076374500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 384656 | MN | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174005953 | Carris Health - Redwood LLC | Hospice Care, Community Based | 1110 E Bridge St, Redwood Falls, MN 56283-1808 | 2018-08-29 |
| 1053953588 | Carris Health - Redwood LLC | Durable Medical Equipment & Medical Supplies | 1100 E Broadway St, Redwood Falls, MN 56283-2247 | 2019-10-16 |
| 1396216412 | Carris Health - Redwood LLC | Clinic/Center | 100 Fallwood Rd, Redwood Falls, MN 56283-1828 | 2018-12-16 |
| 1265914048 | Carris Health - Redwood LLC | Nurse Anesthetist, Certified Registered | 100 Fallwood Rd, Redwood Falls, MN 56283-1828 | 2018-08-29 |
| 1386126167 | Carris Health - Redwood LLC | Home Health | 1110 E Bridge St, Redwood Falls, MN 56283-1808 | 2018-08-29 |
| 1194206748 | Carris Health - Redwood LLC | General Acute Care Hospital | 100 Fallwood Rd, Redwood Falls, MN 56283-1828 | 2018-08-22 |
| Street Address |
100 FALLWOOD RD |
| City | REDWOOD FALLS |
| State | MN |
| Zip Code | 56283-1828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104818673 | Redwood Area Hospital | General Acute Care Hospital | 100 Fallwood Rd, Redwood Falls, MN 56283-1828 | 2005-08-19 |
| 1366060162 | Magan Simon | Occupational Therapist | 100 Fallwood Rd, Redwood Falls, MN 56283-1828 | 2020-07-08 |
| 1396216412 | Carris Health - Redwood LLC | Clinic/Center | 100 Fallwood Rd, Redwood Falls, MN 56283-1828 | 2018-12-16 |
| 1265914048 | Carris Health - Redwood LLC | Nurse Anesthetist, Certified Registered | 100 Fallwood Rd, Redwood Falls, MN 56283-1828 | 2018-08-29 |
| 1194206748 | Carris Health - Redwood LLC | General Acute Care Hospital | 100 Fallwood Rd, Redwood Falls, MN 56283-1828 | 2018-08-22 |
| 1083132955 | Jack Gasperlin | Specialist/Technologist | 100 Fallwood Rd, Redwood Falls, MN 56283-1828 | 2017-08-31 |
| 1700258761 | Kelly Shaner | Specialist/Technologist | 100 Fallwood Rd, Redwood Falls, MN 56283-1828 | 2015-10-29 |
| 1649666587 | Heidi Jo Irlbeck | Physical Therapist | 100 Fallwood Rd, Redwood Falls, MN 56283-1828 | 2015-04-07 |
| 1023352275 | Katherine Borgen | Physical Therapist | 100 Fallwood Rd, Redwood Falls, MN 56283-1828 | 2012-11-11 |
| 1730403528 | Redwood Falls Municipal Hospital | General Acute Care Hospital | 100 Fallwood Rd, Redwood Falls, MN 56283-1828 | 2010-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073128153 | Michael W Flinn Dds, Pa | Dentist | 200 Firewood Drive, Redwood, MN 56283 | 2020-09-15 |
| 1851763932 | Thomas A Bruns | Nurse Anesthetist, Certified Registered | 30057 700th Avenue, Redwood Falls, MN 56283 | 2015-10-28 |
| 1073905881 | Cindy Moldan | Registered Nurse | 100 Fallwood Road, Redwood Area Hospital, Redwood Falls, MN 56283 | 2015-03-03 |
| 1922329903 | Amanda J Kittelson | Physician Assistant | Carris Health-redwood, 100 Fallwood Road, Redwood Falls, MN 56283 | 2010-06-14 |
| 1356474183 | Timothy Shane Brown | Dentist | 105 E Bridge St, Redwood Falls, MN 56283 | 2007-03-13 |
| 1356484513 | Sward-kemp Drug Co Inc | Pharmacy | 207 South Washington Street, Redwood Falls, MN 56283 | 2007-02-15 |
| 1699782169 | Janet L Marti | Nurse Practitioner | 1100 E. Broadway, Affiliated Community Medical Centers, Redwood Falls, MN 56283 | 2006-08-01 |
| 1124094842 | Cynthia K Gronau | Family Medicine | 1100 E Broadway, Redwood Falls, MN 56283 | 2006-02-23 |
| 1063493781 | Thomas C. Gross | Emergency Medicine | 1100 East Broadway, Affiliated Community Medical Centers, Redwood Falls, MN 56283 | 2005-11-09 |
| 1457872434 | Susan Buckley | Physical Therapist | 100 Fallwood Road, Redwood Area Hospital, Redwood Falls, MN 56283 | 2017-06-29 |
| Find all providers in zip 56283 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881039659 | Metropolitan Health Medical Center | Medicare Defined Swing Bed Unit | 3055 Old Highway 8 Ste 2, St Anthony, MN 55418-2500 | 2013-05-07 |
| 1952359614 | Centracare Health System - Long Prairie | Medicare Defined Swing Bed Unit | 50 Centracare Dr, Long Prairie, MN 56347 | 2006-05-05 |
| 1952370348 | City of Sleepy Eye | Medicare Defined Swing Bed Unit | 400 4th Ave Nw, Sleepy Eye, MN 56085-1109 | 2006-03-16 |
| 1932738218 | Essentia Health Moose Lake | Medicare Defined Swing Bed Unit | 4572 County Road 61, Moose Lake, MN 55767-9401 | 2020-04-07 |
| 1578106498 | Avera Granite Falls | Medicare Defined Swing Bed Unit | 345 10th Ave, Granite Falls, MN 56241-1442 | 2019-10-23 |
| 1578078036 | Winona Health Services | Medicare Defined Swing Bed Unit | 855 Mankato Ave, Winona, MN 55987-4868 | 2017-12-06 |
| 1649705690 | Stevens Community Medical Center Inc | Medicare Defined Swing Bed Unit | 400 E. 1st Street, Morris, MN 56267 | 2017-04-27 |
| 1316374978 | Bridges Medical Center | Medicare Defined Swing Bed Unit | 201 9th St W, Ada, MN 56510-1279 | 2013-09-27 |
| 1457786972 | Centracare Health-paynesville LLC | Medicare Defined Swing Bed Unit | 200 W 1st St, Paynesville, MN 56362-1445 | 2013-09-04 |
| 1902243280 | Northern Pines Medical Center | Medicare Defined Swing Bed Unit | 5211 Highway 110, Aurora, MN 55705-1522 | 2013-05-28 |
| Find all providers with the same taxonomy | ||||
| City | REDWOOD FALLS |
| Zip Code | 56283 |
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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.