Organization
RIDGEVIEW MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL PHELPS (PRESIDENT CEO)
(952) 442-2191
Entity
Organization
Contact information
Practice address
500 S MAPLE ST, WACONIA, MN 55387-1752
(952) 442-2191
(952) 442-8052
Mailing address
500 S MAPLE ST, WACONIA, MN 55387-1752
(952) 442-2191
(952) 442-8052
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
331057
MN
341600000X
Ambulance
0021
MN
341600000X
Ambulance
0046
MN
341600000X
Ambulance
0254
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
975245500
—
MN
Enumeration date
11/22/2006
Last updated
12/08/2023
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