Organization Active NPI

Rice County District One Hospital

Doing business as Faribault Area Hospice

  • Inpatient Hospice
  • Faribault, MN
National Provider Identifier
1902988868
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Inpatient HospiceTaxonomy code 315D00000X
License
328122 Issued in MN
Legal business name
RICE COUNTY DISTRICT ONE HOSPITAL
Doing business as
Faribault Area Hospice
Practice address
200 State Ave
Faribault, MN 55021-6339
Phone
(507) 334-6451
Fax
(507) 332-4848
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Patrick Alois Justin, M.B.A.
Title
Cfo
Phone
(507) 332-4731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Inpatient Hospice 315D00000X 328122 MN Primary

Addresses

Primary practice location

200 State Ave
Faribault, MN 55021-6339

Mailing address

200 State Ave
Faribault, MN 55021-6339
Phone (507) 334-6451

Other names 1

  • Faribault Area Hospice Doing business as

National Provider Directory

National Provider Directory

Locations

631 1st St SE
Faribault, MN 55021
Phone (507) 334-6451

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902988868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 STATE AVE",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550216339",
            "telephone_number": "507-334-6451",
            "fax_number": "507-332-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 STATE AVE",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550216339",
            "telephone_number": "507-334-6451",
            "fax_number": "507-332-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICE COUNTY DISTRICT ONE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JUSTIN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "ALOIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "507-332-4731",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.B.A."
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "MN",
            "license": "328122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faribault Area Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Faribault, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.