MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION (NPI# 1083984876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083984876 |
| Entity Type | Organization |
| Organization Name | MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION |
| Other Organization Name | MAYO CLINIC HEALTH SYSTEM-CANNON FALLS |
| Practice Address |
32021 County 24 Boulevard Cannon Falls MN 55009-1824 |
| Mailing Address |
6501 City West Pkwy Eden Prairie MN 55344-3248 |
| Practice Telephone | 5072634221 |
| Mailing Telephone | 9526532525 |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2017-11-15 |
| Authorized Official Name | DOUGLAS PARKS (CHAIR ADMINISTRATION) |
| Authorized Official Telephone | 5072665010 |
| Is Organization Subpart | Y |
| Parent Organization Name | MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| Mayo Clinic Health System-Cannon Falls | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396832606 | Mayo Clinic Health System-southeast Minnesota Region | Eyewear Supplier (Equipment, not the service) | 404 W Fountain St Ste 3, Albert Lea, MN 56007-2437 | 2006-10-06 |
| 1063435410 | Mayo Clinic Health System-southeast Minnesota Region | General Acute Care Hospital | 32021 County Road 24 Blvd., Cannon Falls, MN 55009 | 2006-07-26 |
| 1851310247 | Mayo Clinic Health System-southeast Minnesota Region | Hospice Care, Community Based | 101 14th St Nw, Austin, MN 55912 | 2006-07-18 |
| 1811500341 | Mayo Clinic Health System-southeast Minnesota Region | Non-Pharmacy Dispensing Site | 1000 1st Dr Nw, Austin, MN 55912-2941 | 2020-08-25 |
| 1487267910 | Mayo Clinic Health System-southeast Minnesota Region | Non-Pharmacy Dispensing Site | 404 W Fountain St, Albert Lea, MN 56007-2437 | 2020-08-25 |
| 1528595386 | Mayo Clinic Health System-southeast Minnesota Region | Durable Medical Equipment & Medical Supplies | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2017-05-11 |
| 1275060030 | Mayo Clinic Health System-southeast Minnesota Region | Clinic/Center | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2017-05-11 |
| 1073040838 | Mayo Clinic Health System-southeast Minnesota Region | Durable Medical Equipment & Medical Supplies | 300 State Ave, Faribault, MN 55021-6319 | 2017-05-11 |
| 1497281695 | Mayo Clinic Health System-southeast Minnesota Region | Clinic/Center | 32021 County Road 24 Blvd., Cannon Falls, MN 55009-5003 | 2017-05-08 |
| 1114453883 | Mayo Clinic Health System-southeast Minnesota Region | Clinic/Center | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2017-05-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION | 404 Fountain St, Albert Lea, MN 56007-2437 |
| Iowa Business Entities | MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION | 1000 First Dr Nw, Austin, MN 55912 |
| Street Address |
32021 COUNTY 24 BOULEVARD |
| City | CANNON FALLS |
| State | MN |
| Zip Code | 55009-1824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952813784 | Curtis John Beissel | Physical Therapist | 32021 Count 24 Blvd, Cannon Falls, MN 55009 | 2017-11-02 |
| 1316399330 | Amy Lee Mcalister | Nurse Practitioner | 32021 County Rd 24 Blvd., Cannon Falls, MN 55009 | 2016-07-02 |
| 1265773295 | Gregory Marcus Schwartz | Pharmacist | 108 North 4th, Cannon Falls, MN 55009 | 2013-03-15 |
| 1184637753 | Mark J Juetten | Dentist | 31378 Co 24 Blvd, Cannon Falls, MN 55009 | 2006-08-14 |
| 1063435410 | Mayo Clinic Health System-southeast Minnesota Region | General Acute Care Hospital | 32021 County Road 24 Blvd., Cannon Falls, MN 55009 | 2006-07-26 |
| 1497711089 | Nadia Maradiaga Weber | Dentist | 925 4th Street South, Cannon Falls, MN 55009 | 2006-04-24 |
| 1881997070 | Weber Family Dentistry LLC | Dentist | 925 4th Street South, Cannon Falls, MN 55009 | 2010-12-10 |
| 1790791077 | Mayo Clinic Health System-southeast Minnesota Region | Medicare Defined Swing Bed Unit | 32021 County Road 24 Blvd., Cannon Falls, MN 55009 | 2006-07-31 |
| 1164489266 | Gregory Stephen Weber | Dentist | 925 4th Street South, Cannon Falls, MN 55009 | 2006-05-01 |
| 1902872641 | David G Detert | Family Medicine | 1705 N Highway 20, Cannon Falls, MN 55009-1187 | 2006-02-23 |
| Find all providers in zip 55009 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518528397 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | Fairview Lakeville Clinic Mtm, 18580 Joplin Ave, Lakeville, MN 55044 | 2019-06-24 |
| 1851856504 | Tareen Dermatology, Pa | Non-Pharmacy Dispensing Site | 2945 Hazelwood St Ste 230, Maplewood, MN 55109-1241 | 2019-02-07 |
| 1417450651 | Cerner Health Connections, Inc | Non-Pharmacy Dispensing Site | 4001 Lexington Ave N Ste C2-435, Arden Hills, MN 55126-2934 | 2018-03-14 |
| 1316461593 | Fairview Pharmacy Service LLC | Non-Pharmacy Dispensing Site | 7250 France Ave S Ste 410, Edina, MN 55435-4314 | 2017-07-31 |
| 1346653052 | Advanced Spine and Pain Clinics of Mn, LLC | Non-Pharmacy Dispensing Site | 308 Brighton Ave, Suite D, Buffalo, MN 55313-2303 | 2014-06-10 |
| 1407296148 | Group Health Plan Inc | Non-Pharmacy Dispensing Site | 1833 2nd Ave, Anoka, MN 55303-2432 | 2013-06-26 |
| 1295178135 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 6440 Nicollet Ave South, Richfield, MN 55423-1613 | 2013-04-10 |
| 1992148845 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 2450 Riverside Ave South, Minneapolis, MN 55454-1400 | 2013-04-10 |
| 1255623765 | Mankato Clinic, Ltd | Non-Pharmacy Dispensing Site | 305 Main St Ne, Mapleton, MN 56065 | 2011-05-03 |
| 1598075012 | Lakeview Memorial Hospital Assn, Inc. | Non-Pharmacy Dispensing Site | 927 West Churchill St, Stillwater, MN 55082 | 2010-10-18 |
| Find all providers with the same taxonomy | ||||
| City | CANNON FALLS |
| Zip Code | 55009 |
Please comment or provide details below to improve the information on MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.