Organization Active NPI

St Francis Medical Center

Doing business as Rivers Edge Hospice

  • Critical Access Hospital
  • Breckenridge, MN
National Provider Identifier
1316023252
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
331017 Issued in MN
Legal business name
ST FRANCIS MEDICAL CENTER
Doing business as
Rivers Edge Hospice
Practice address
2400 St Francis Dr
Breckenridge, MN 56520-1025
Phone
(218) 643-0467
Fax
(218) 643-0865
NPI assigned
Oct 31, 2006
Organization subpart
Yes
Parent organization
ST FRANCIS MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Mrs. Nancy Whitney
Title
Cfo/VP Finance
Phone
(218) 643-0402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 331017 MN Primary

Addresses

Primary practice location

2400 St Francis Dr
Breckenridge, MN 56520-1025

Mailing address

2400 St Francis Dr
Breckenridge, MN 56520-1025
Phone (218) 643-0467

Other identifiers 1

IdentifierTypeStateIssuer
884555700MedicaidMN

Other names 1

  • Rivers Edge Hospice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Francis Home Health5 organizations share this tax ID, including this one
Part of
St Francis Home Health

Other organizations with this tax ID 4

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1316023252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 ST FRANCIS DR",
            "city": "BRECKENRIDGE",
            "state": "MN",
            "postal_code": "565201025",
            "telephone_number": "218-643-0467",
            "fax_number": "218-643-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 ST FRANCIS DR",
            "city": "BRECKENRIDGE",
            "state": "MN",
            "postal_code": "565201025",
            "telephone_number": "218-643-0467",
            "fax_number": "218-643-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST FRANCIS MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST FRANCIS MEDICAL CENTER",
        "enumeration_date": "2006-10-31",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "WHITNEY",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CFO/VP FINANCE",
        "authorized_official_telephone_number": "218-643-0402",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MN",
            "license": "331017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "884555700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rivers Edge Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Breckenridge, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.