River'S Edge Hospital & Clinic

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

342725 Issued in MN

Legal business name

RIVER'S EDGE HOSPITAL & CLINIC

Practice address

1900 North Sunrise Drive
St Peter, MN 56082

Phone

(507) 934-8480

Fax

(507) 934-8460

NPI assigned

Apr 27, 2009

Organization subpart

Yes

Parent organization

RIVER'S EDGE HOSPITAL & CLINICAs reported in NPPES

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

Authorized official

Name

Ms. Colleen A Spike

Title

Ceo

Phone

(507) 934-7602

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

St Peter Community Hosp2 organizations share this tax ID, including this one

Part of

St Peter Community Hosp

Other organizations with this tax ID 1

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

• River'S Edge Hospital & Clinic

  • Critical Access Hospital
  • St Peter, MN
  • NPI 1568447027
  NPD tax ID

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1861636409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 NORTH SUNRISE DRIVE",
            "city": "ST PETER",
            "state": "MN",
            "postal_code": "56082",
            "telephone_number": "507-934-8480",
            "fax_number": "507-934-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 NORTH SUNRISE DRIVE",
            "city": "ST PETER",
            "state": "MN",
            "postal_code": "56082",
            "telephone_number": "507-934-8480",
            "fax_number": "507-934-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER'S EDGE HOSPITAL & CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVER'S EDGE HOSPITAL & CLINIC",
        "enumeration_date": "2009-04-27",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "SPIKE",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "A",
        "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": "342725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "650547300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• River'S Edge Hospital & Clinic
• River'S Edge Hospital & Clinic
• Riverside Dental Care,LLC
• Rebecca Robinson-Wargelin
• Makena Elizabeth Roeker
• Stacy Rutt, LICSW
• Leah E Rutz, ATC, LAT

• Critical Access Hospital in St Peter, MN
• Providers in St Peter, MN by specialty
• Critical Access Hospital in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.