RIDGEVIEW MEDICAL CENTER (NPI# 1528311636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528311636 |
| Entity Type | Organization |
| Organization Name | RIDGEVIEW MEDICAL CENTER |
| Practice Address |
500 S Maple St Waconia MN 55387-1752 |
| Practice Telephone | 9524422191 |
| Practice Fax Number | 9524428052 |
| Mailing Telephone | 9524422191 |
| Mailing Fax Number | 9524428052 |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2013-04-26 |
| Authorized Official Name | MR. ROBERT ALEXANDER STEVENS (PRESIDENT CEO) |
| Authorized Official Telephone | 9524422191 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 350185 | MN | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104954445 | Ridgeview Medical Center | Home Health | 501 South Maple St, Suite 1, Waconia, MN 55387-0096 | 2007-02-28 |
| 1821096348 | Ridgeview Medical Center | Durable Medical Equipment & Medical Supplies | 501 S Maple St, Suite 2, Waconia, MN 55387-0096 | 2005-07-08 |
| 1407461072 | Ridgeview Medical Center | Family Medicine | 111 Hundertmark Rd, Chaska, MN 55318-4551 | 2020-09-10 |
| 1811545379 | Ridgeview Medical Center | General Acute Care Hospital | 500 S Maple St, Waconia, MN 55387-1752 | 2019-08-28 |
| 1295276483 | Ridgeview Medical Center | Clinic/Center | 551 4th St N, Winsted, MN 55395-4523 | 2017-03-20 |
| 1528364429 | Ridgeview Medical Center | Nurse Anesthetist, Certified Registered | 500 S Maple St, Waconia, MN 55387-1752 | 2011-02-10 |
| 1811174923 | Ridgeview Medical Center | Radiology | 500 S Maple St, Waconia, MN 55387-1752 | 2008-01-31 |
| 1013045350 | Ridgeview Medical Center | Hospice Care, Community Based | 501 South Maple St, Suite 1, Waconia, MN 55387-0096 | 2007-02-28 |
| 1033262902 | Ridgeview Medical Center | Non-Pharmacy Dispensing Site | 500 S Maple St, Waconia, MN 55387-1752 | 2007-01-22 |
| 1275608457 | Ridgeview Medical Center | Ambulance | 500 S Maple St, Waconia, MN 55387-1752 | 2006-11-22 |
| Street Address |
500 S MAPLE ST |
| City | WACONIA |
| State | MN |
| Zip Code | 55387-1752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083611701 | Mary K. Jordan | Social Worker | 500 S Maple St, Waconia, MN 55387-1752 | 2005-07-07 |
| 1811545379 | Ridgeview Medical Center | General Acute Care Hospital | 500 S Maple St, Waconia, MN 55387-1752 | 2019-08-28 |
| 1548744519 | Karissa Lyn Stromley | Nurse Anesthetist, Certified Registered | 500 S Maple St, Waconia, MN 55387 | 2018-09-17 |
| 1598245128 | Jennifer R Finger | Nurse Practitioner | 500 S Maple St, Waconia, MN 55387-1791 | 2018-08-14 |
| 1609384031 | Abby Therese Messer | Social Worker | 500 S Maple St, Waconia, MN 55387-1752 | 2018-01-19 |
| 1407364565 | Nicole Marcouiller | Social Worker | 500 S Maple St, Waconia, MN 55387-1752 | 2018-01-10 |
| 1326575341 | Cady Welch | Student in an Organized Health Care Education/Training Program | 500 S Maple St, Waconia, MN 55387-1752 | 2017-05-22 |
| 1396272159 | Angelica Stoltz | Nurse Practitioner | 500 S Maple St, Waconia, MN 55387-1752 | 2017-05-11 |
| 1033650627 | Sara Maurer | Nurse Practitioner | 500 S Maple St, Waconia, MN 55387-1752 | 2017-03-15 |
| 1700328689 | Brady Perry Griffith | Physician Assistant | 500 S Maple St, Waconia, MN 55387-1752 | 2016-11-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023626256 | Katelyn Neufeld | Midwife | Western Obgyn 560 S Maple St, Suite 130, Waconia, MN 55387 | 2020-07-14 |
| 1871074674 | Ashley Bea Johnson | Registered Nurse | 1866 Sandbar Cir, Waconia, MN 55387 | 2018-08-28 |
| 1740642529 | Ryan Christenson | Chiropractor | 32 E Main St., Waconia, MN 55387 | 2016-03-22 |
| 1942638481 | Katie Elizabeth Leuning-pavek | Marriage & Family Therapist | 1657 Interlaken Ct, Waconia, MN 55387 | 2013-10-18 |
| 1083964837 | Auburn Meadows, LLC | Assisted Living Facility | 591 S. Cherry Dr, Waconia, MN 55387 | 2012-09-19 |
| 1114238821 | Jalissa Joy Kruckman | Dentist | 576 Cherry Dr, Waconia, MN 55387 | 2010-06-28 |
| 1194990143 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 121 Depot Dr, Waconia, MN 55387 | 2008-04-29 |
| 1417156662 | Heather Anne Noel Tuttle | Optometrist | 753 Marketplace Drive, Waconia, MN 55387 | 2007-07-17 |
| 1366507436 | Waconia School District | Local Education Agency (LEA) | 512 Industrial Blvd, Waconia, MN 55387 | 2006-12-27 |
| 1295898872 | Haven Chemical Health Systems | Counselor | 233 1st St W, Waconia, MN 55387 | 2006-12-18 |
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| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150235 | Larry Vernon Elj | Psychiatric Unit | 516 South Pokegama Ave, Grand Rapids, MN 55744-3800 | 2020-09-25 |
| 1255635934 | University of Minnesota Medical Center, Fairview Riverside | Psychiatric Unit | 2414 Riverside Avenue, Adolescent Day Treatment Unit 7ae, Minneapolis, MN 55454 | 2011-01-10 |
| 1619934627 | St. Cloud Hospital | Psychiatric Unit | 1406 6th Ave North, Saint Cloud, MN 56303-1900 | 2006-04-26 |
| 1174168652 | Regions Hospital | Psychiatric Unit | 640 Jackson St, Saint Paul, MN 55101-2502 | 2019-11-08 |
| 1003353202 | Centracare Health System-nr LLC | Psychiatric Unit | 1013 Hart Blvd, Monticello, MN 55362-8575 | 2017-01-25 |
| 1003266321 | Healtheast St Josephs Hospital | Psychiatric Unit | 45 10th St W, Saint Paul, MN 55102-1062 | 2016-06-17 |
| 1306273842 | Allina Health System | Psychiatric Unit | 1175 Nininger Rd, Hastings, MN 55033-1056 | 2013-09-30 |
| 1336443225 | Upside Psychiatric | Psychiatric Unit | 1526 30th St Nw, Bemidji, MN 56601-4140 | 2011-01-06 |
| 1932419058 | St. Cloud Hospital | Psychiatric Unit | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2010-10-08 |
| 1477708485 | County of Meeker | Psychiatric Unit | 612 S Sibley Ave, Litchfield, MN 55355-3340 | 2008-11-19 |
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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.