Active NPI
Redwood Area Hospital
- Critical Access Hospital
- Redwood Falls, MN
National Provider Identifier
1790775872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- License
- 327688
- 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 HOSPITAL
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Date | Event | Counterparty |
|---|---|---|
| Jan 1, 2019 | Change of Ownership | Centracare Hospice |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Community Based Hospice Care Agency
- Redwood Falls, MN
- NPI 1174005953
Sold to, 2019-01-01
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.