Organization
RIDGEVIEW MEDICAL CENTER
Active
Parent organization
RIDGEVIEW MEDICAL CENTER
Other names
Ridgeview Hospice
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIDGEVIEW MEDICAL CENTER
Authorized official
MICHAEL J PHELPS (PRESIDENT/CEO)
(952) 442-2191
Entity
Organization
Contact information
Practice address
501 SOUTH MAPLE ST, SUITE 1, WACONIA, MN 55387-0096
(952) 442-6030
(952) 442-6542
Mailing address
501 SOUTH MAPLE ST, SUITE 1, WACONIA, MN 55387-0096
(952) 442-6030
(952) 442-6542
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
333821
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
783590600
—
MN
Enumeration date
02/28/2007
Last updated
12/08/2023
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