NPIMap

Organization Active NPI

River's Edge Hospital & Clinic

  • Critical Access Hospital
  • Saint Peter, MN
National Provider Identifier
1407849367
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
327494 Issued in MN
Legal business name
RIVER'S EDGE HOSPITAL & CLINIC
Practice address
1900 Sunrise Dr
St Peter, MN 56082-5376
Phone
(507) 931-2200
Fax
(507) 934-8505
NPI assigned
Aug 25, 2005
Last updated
Feb 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Authorized official

Name
Ms. Colleen Spike
Title
Ceo
Phone
(507) 934-7602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 327494 MN Primary

Addresses

Primary practice location

1900 Sunrise Dr
St Peter, MN 56082-5376

Mailing address

1900 Sunrise Dr
St Peter, MN 56082-5376
Phone (507) 931-2200

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031120000094 MN Part B Supplier - Clinic/Group Practice 7214849397 Receives reassigned benefits from 94 practitioners
Practice locations: Saint Peter, MN
O20090204000094 MN Part A Provider - Critical Access Hospital 7214849397 Receives reassigned benefits from 58 practitioners
Practice locations: Saint Peter, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407849367. Details of each certification follow.

Hospital certification: CCN 241334

Legal name
RIVER'S EDGE HOSPITAL & CLINIC
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Apr 1, 2002
Last certification
Apr 27, 2017
Beds
17
Ownership / control type
Local
Organization structure
OtherNon-profit
Incorporated
in MN
Enrollment address
1900 North Sunrise Drive
Saint Peter, MN 56082-5376
Other Hospital Practice 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).

Care Compare: Hospital

Medicare Care Compare
Listed as
River's Edge Hospital & ClinicCCN 241334 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

1900 Sunrise Dr
#D
Saint Peter, MN 56082

1900 Sunrise Dr
Ste 100
Saint Peter, MN 56082
Phone (507) 345-4035

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Paula Meskan Individual Corporate OfficerCeo Sep 1, 2020
W-2 Managing Employee Sep 1, 2020
City of St Peter Organization, St. Peter, MN Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2020 100%

Practitioners & affiliated clinicians

Practitioners 107

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 107

Affiliated clinicians 87

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

View all 87

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1407849367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SUNRISE DR",
            "city": "ST PETER",
            "state": "MN",
            "postal_code": "560825376",
            "telephone_number": "507-931-2200",
            "fax_number": "507-934-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SUNRISE DR",
            "city": "ST PETER",
            "state": "MN",
            "postal_code": "560825376",
            "telephone_number": "507-931-2200",
            "fax_number": "507-934-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER'S EDGE HOSPITAL & CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-25",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "SPIKE",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "507-934-7602",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MN",
            "license": "327494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peter, MN

Sources for this page

Verify at the official NPI Registry.