NPIMap

Organization Active NPI

Minnesota Valley Health Center Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Le Sueur, MN
National Provider Identifier
1215097902
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
MINNESOTA VALLEY HEALTH CENTER INC
Practice address
621 S 4TH St
Le Sueur, MN 56058-2203
Phone
(507) 665-3375
Fax
(507) 665-2191
NPI assigned
Dec 11, 2006
Last updated
Nov 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Authorized official

Name
Mrs. Michael Phelps
Title
President/Ceo
Phone
(952) 442-2191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X NU Primary

Addresses

Primary practice location

621 S 4TH St
Le Sueur, MN 56058-2203

Mailing address

621 S 4TH St
Le Sueur, MN 56058-2203
Phone (507) 665-3375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040301000309 MN Part B Supplier - Clinic/Group Practice 9032006507 Receives reassigned benefits from 237 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Le Sueur, MN
O20080430000534 MN Part A Provider - Critical Access Hospital 9032006507 Practice locations: Le Sueur, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215097902. Details of each certification follow.

Hospital certification: CCN 24Z375

Legal name
MINNESOTA VALLEY HEALTH CENTER INC
Organization structure
CorporationNon-profit
Enrollment address
621 S 4TH St
Le Sueur, MN 56058-2203
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Minnesota Valley Health Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Robert Broeder Individual Corporate Officer Jan 1, 1995
Betty Braun Individual Corporate OfficerBoard Director Jan 1, 2026
Mark Amundson Individual Corporate OfficerBoard Director Jan 1, 2021
Christopher Bielke Individual W-2 Managing EmployeeManager of Payer Strategy Jun 20, 2022
Kay King Individual Corporate OfficerBoard Director Jun 24, 2016
Pamela Jean Williams Individual Corporate OfficerBoard Director Jan 1, 2026
Ben C Nielsen Individual Corporate OfficerChief Operating Officer Jun 24, 2016
Michael J Phelps Individual Corporate OfficerChief Executive Officer Jun 24, 2016
Jeffrey T Nelson Individual Corporate OfficerBoard Director Jan 1, 2022
Brent K Wordelman Individual Corporate OfficerChief Financial Officer Apr 20, 2026
Aaron a Bloomquist Individual Corporate OfficerChief Financial Officer Jan 1, 2022
Ridgeview Medical Center Organization, Waconia, MN Corporation 5% Or Greater Direct Ownership Interest Jun 24, 2016 100%

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 201

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 201

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1215097902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S 4TH ST",
            "city": "LE SUEUR",
            "state": "MN",
            "postal_code": "560582203",
            "telephone_number": "507-665-3375",
            "fax_number": "507-665-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S 4TH ST",
            "city": "LE SUEUR",
            "state": "MN",
            "postal_code": "560582203",
            "telephone_number": "507-665-3375",
            "fax_number": "507-665-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA VALLEY HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "952-442-2191",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Le Sueur, MN

Sources for this page

Verify at the official NPI Registry.