Organization Active NPI

Redwood Area Hospital

  • Critical Access Hospital
  • Redwood Falls, MN
National Provider Identifier
1790775872
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) 697-6000
NPI assigned
Oct 28, 2005
Organization subpart
Yes
Parent organization
REDWOOD FALLS MUNICIPAL HOSPITALAs reported in NPPES

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Part of
Redwood Falls Municipal Hospital

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jan 1, 2019 Change of OwnershipThis provider was the seller Centracare HospiceCCN 241517, MN, NPI 1174005953

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379808000000",
    "number": "1790775872",
    "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": "507-697-6000"
        },
        {
            "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": "507-697-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD AREA HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REDWOOD FALLS MUNICIPAL HOSPITAL",
        "enumeration_date": "2005-10-28",
        "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

Verify at the official NPI Registry.