Organization Active NPI

Redwood Area Hospital

  • Critical Access Hospital
  • Redwood Falls, MN
National Provider Identifier
1104818673
Registry record updated Sep 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
327688 Issued in MN
Legal business name
REDWOOD AREA HOSPITAL
Practice address
100 Fallwood Rd
Redwood Falls, MN 56283-1828
Phone
(507) 637-4500
Fax
(507) 697-6029
NPI assigned
Aug 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2013

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

Authorized official

Name
Bryan Lydick, CEO
Title
Ceo
Phone
(507) 637-4511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 327688 MN Primary

Addresses

Primary practice location

100 Fallwood Rd
Redwood Falls, MN 56283-1828

Mailing address

100 Fallwood Rd
Redwood Falls, MN 56283-1828
Phone (507) 637-4500

National Provider Directory

National Provider Directory

Locations

2015 1st St S
Willmar, MN 56201
Phone (320) 235-9599

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379808000000",
    "number": "1104818673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FALLWOOD RD",
            "city": "REDWOOD FALLS",
            "state": "MN",
            "postal_code": "562831828",
            "telephone_number": "507-637-4500",
            "fax_number": "507-697-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FALLWOOD RD",
            "city": "REDWOOD FALLS",
            "state": "MN",
            "postal_code": "562831828",
            "telephone_number": "507-637-4500",
            "fax_number": "507-697-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD AREA HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-19",
        "last_updated": "2013-09-22",
        "status": "A",
        "authorized_official_last_name": "LYDICK",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "507-637-4511",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MN",
            "license": "327688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.