CARRIS HEALTH - REDWOOD LLC (NPI# 1396216412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396216412 |
| 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 | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| Authorized Official Name | BRYAN LYDICK (CARRIS HEALTH - REDWOOD CEO) |
| Authorized Official Telephone | 5076374500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| 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 |
| 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 |
| 1285116061 | Carris Health - Redwood LLC | Medicare Defined Swing Bed Unit | 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 |
| 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 |
| 1265914048 | Carris Health - Redwood LLC | Nurse Anesthetist, Certified Registered | 100 Fallwood Rd, Redwood Falls, MN 56283-1828 | 2018-08-29 |
| 1285116061 | Carris Health - Redwood LLC | Medicare Defined Swing Bed Unit | 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902364482 | St Mary's Regional Health Center | Clinic/Center | 300 E Main Ave, Frazee, MN 56544-4504 | 2019-03-04 |
| 1508378324 | International Falls Memorial Hospital Association | Clinic/Center | 912 Main St Unit C, Littlefork, MN 56653-9379 | 2017-11-02 |
| 1407262405 | Tri-county Hospital, Inc. | Clinic/Center | 102 Farwell St S, Verndale, MN 56481 | 2014-07-10 |
| 1457624272 | Sanford Health of Northern Minnesota | Clinic/Center | 22 Elm St Nw, Clearbrook, MN 56634 | 2012-02-10 |
| 1750671186 | Riverview Healthcare Association | Clinic/Center | 306 N Mill St, Fertile, MN 56540-4330 | 2011-04-19 |
| 1952690034 | Hendricks Community Hospital Assn & Retirement Home | Clinic/Center | 315 N Norman St, Ivanhoe, MN 56142-9580 | 2011-03-29 |
| 1992012207 | County of Kanabec | Clinic/Center | 1425 Main Street North, Pine City, MN 55063-1530 | 2010-09-08 |
| 1578736492 | Healthpartners Rc | Clinic/Center | 131 Birch Avenue, Hector, MN 55342-0117 | 2008-04-11 |
| 1730352675 | Healthpartners Rc | Clinic/Center | 420 Main Street North, Renville, MN 56284-0606 | 2008-04-11 |
| 1578735833 | County of Murray | Clinic/Center | 119 N St Paul Ave, Fulda, MN 56131-1156 | 2008-03-27 |
| Find all providers with the same taxonomy | ||||
| City | REDWOOD FALLS |
| Zip Code | 56283 |
Please comment or provide details below to improve the information on CARRIS HEALTH - REDWOOD LLC.
| 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.