NPIMap

Organization Active NPI

Rice Memorial Hospital

  • Cardiovascular Disease Physician
  • Willmar, MN
National Provider Identifier
1083813232
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
331093 Issued in MN
Legal business name
RICE MEMORIAL HOSPITAL
Practice address
301 Becker Ave SW
Willmar, MN 56201-3302
Phone
(320) 235-4543
Fax
(320) 231-4879
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Jaclyn Hinderks
Title
Director of Revenue Cycle
Phone
(320) 231-4425

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 331093 MN Primary
Health Maintenance Organization 302R00000X 331093 MN

Addresses

Primary practice location

301 Becker Ave SW
Willmar, MN 56201-3302

Mailing address

301 Becker Ave SW
Willmar, MN 56201-3302
Phone (320) 235-4543

Other identifiers 1

IdentifierTypeStateIssuer
4T367RIOtherMNBCBS CFR RDC

National Provider Directory

National Provider Directory
Tax ID family
Rice Memorial Anesthesia5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1083813232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BECKER AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013302",
            "telephone_number": "320-235-4543",
            "fax_number": "320-231-4879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BECKER AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013302",
            "telephone_number": "320-235-4543",
            "fax_number": "320-231-4879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICE MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "HINDERKS",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "320-231-4425"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MN",
            "license": "331093",
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MN",
            "license": "331093",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CFR RDC",
            "identifier": "4T367RI",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willmar, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.