Organization
RIDGEVIEW MEDICAL CENTER
Active
Parent organization
RIDGEVIEW MEDICAL CENTER
Other names
Ridgeview Home Care Services
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
251E00000X
Home Health Agency
Primary
334660
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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