# RIDGEVIEW MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275608457
- **Authorized official:** MR. MICHAEL PHELPS (PRESIDENT CEO)
- **Authorized official phone:** (952) 442-2191

## Contact information

- **Practice address:** 500 S MAPLE ST, WACONIA, MN 55387-1752
- **Practice address phone:** (952) 442-2191
- **Practice address fax:** (952) 442-8052
- **Mailing address:** 500 S MAPLE ST, WACONIA, MN 55387-1752
- **Mailing address phone:** (952) 442-2191
- **Mailing address fax:** (952) 442-8052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 331057 | MN | Yes |
| 341600000X | Ambulance | 0021 | MN | — |
| 341600000X | Ambulance | 0046 | MN | — |
| 341600000X | Ambulance | 0254 | MN | — |

## Other

- **Enumeration date:** 11/22/2006
- **Last updated:** 12/08/2023