Red Wing Health Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

RED WING HEALTH CENTER LLC

Doing business as

Bay View Nursing & Rehabilitation Center (R-80)

Practice address

1412 W 4TH St
Red Wing, MN 55066-2107

Phone

(651) 385-4800

NPI assigned

Feb 12, 2019

Last updated

Feb 12, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samuel Weinberg

Title

Manager

Phone

(651) 385-4800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bay View Nursing & Rehabilitation Center (R-80) Doing business as

Practitioners 1

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.

• Samuel Robert Goblirsch, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Cambridge, MN
  • NPI 1417123688
  NPD (past)

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1689130999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 INGLEWOOD AVE S",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554164111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 W 4TH ST",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550662107",
            "telephone_number": "651-385-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED WING HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "651-385-4800"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RULE 80",
            "identifier": "00XX",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay View Nursing & Rehabilitation Center (R-80)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jodene Lee Rectenwald, RPH
• Red Wing Chiropractic Clinic PA
• Red Wing Chiropractic Wellness P.a. (Red Wing Chiropractic Clinic)
• Red Wing Healing Arts PLLC
• Red Wing Health Center
• Red Wing Health Center LLC (Bay View Nursing & Rehabilitation Center)
• Red Wing Health Center, LLC (Red Wing Health Center)
• Red Wing Healthcare LLC (Red Wing Health Center)
• Red Wing Optometric Clinic, P.a. (eye care associates)
• Red Wing Public Schools

• Skilled Nursing Facility in Red Wing, MN
• Providers in Red Wing, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.