Organization Active NPI

Zumbrota Health Services

Doing business as The Bridges of Zumbrota

  • Assisted Living Facility
  • Zumbrota, MN
National Provider Identifier
1053360602
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
329634 Issued in MN
Legal business name
ZUMBROTA HEALTH SERVICES
Doing business as
The Bridges of Zumbrota
Practice address
295 W 4TH St
Zumbrota, MN 55992-1252
Phone
(507) 732-8400
Fax
(507) 732-8430
NPI assigned
May 10, 2006
Organization subpart
Yes
Parent organization
ST. FRANCIS HEALTH SERVICES OF MORRIS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sherry Wagner
Title
Cfo
Phone
(320) 589-4902

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 331870 MN
Assisted Living Facility 310400000X 329634 MN Primary

Addresses

Primary practice location

295 W 4TH St
Zumbrota, MN 55992-1252

Mailing address

801 Nevada Ave
Morris, MN 56267-1865
Phone (320) 589-2004

Other identifiers 1

IdentifierTypeStateIssuer
094620600MedicaidMN

Other names 1

  • The Bridges of Zumbrota Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D1055743The Bridges of Zumbrota295 W 4TH St, Zumbrota, MN 55992Certificate of waiverJun 25, 2028

National Provider Directory

National Provider Directory
Tax ID family
The Bridges of Zumbrota2 organizations share this tax ID, including this one
Part of
St Francis Health Services of Morris Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1053360602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 NEVADA AVE",
            "city": "MORRIS",
            "state": "MN",
            "postal_code": "562671865",
            "telephone_number": "320-589-2004",
            "fax_number": "320-589-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 W 4TH ST",
            "city": "ZUMBROTA",
            "state": "MN",
            "postal_code": "559921252",
            "telephone_number": "507-732-8400",
            "fax_number": "507-732-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZUMBROTA HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. FRANCIS HEALTH SERVICES OF MORRIS, INC",
        "enumeration_date": "2006-05-10",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "320-589-4902"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "331870",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "329634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094620600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Bridges of Zumbrota",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Zumbrota, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.