MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION (NPI# 1518494251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518494251 |
| Entity Type | Organization |
| Organization Name | MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION |
| Other Organization Name | MAYO CLINIC HEALTH SYSTEM-WASECA |
| Practice Address |
501 State St N Waseca MN 56093-2811 |
| Practice Telephone | 5078351210 |
| Mailing Telephone | 5078351210 |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-09-22 |
| Authorized Official Name | TERRY BRANDT (CHAIR ADMINISTRATION) |
| Authorized Official Telephone | 5073856562 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mayo Clinic Health System-Waseca | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962675496 | Mayo Clinic Health System-southwest Minnesota Region | Durable Medical Equipment & Medical Supplies | 1400 Madison Ave Ste 100a, Mankato, MN 56001 | 2008-04-04 |
| 1124035282 | Mayo Clinic Health System-southwest Minnesota Region | General Acute Care Hospital | 301 2nd Street Ne, New Prague, MN 56071 | 2006-08-02 |
| 1619945052 | Mayo Clinic Health System-southwest Minnesota Region | General Acute Care Hospital | 625 N Jackson Ave, Springfield, MN 56087-1714 | 2006-03-10 |
| 1740256668 | Mayo Clinic Health System-southwest Minnesota Region | General Acute Care Hospital | 501 North State Street, Waseca, MN 56093 | 2006-02-28 |
| 1851374169 | Mayo Clinic Health System-southwest Minnesota Region | Hospice Care, Community Based | 1400 E Madison Ave, Suite 324a, Mankato, MN 56001-5473 | 2005-11-22 |
| 1477089407 | Mayo Clinic Health System-southwest Minnesota Region | Clinic/Center | 301 2nd St Ne, New Prague, MN 56071-1709 | 2017-05-11 |
| 1972030740 | Mayo Clinic Health System-southwest Minnesota Region | Clinic/Center | 625 N Jackson Ave, Springfield, MN 56087-1714 | 2017-05-11 |
| 1790212561 | Mayo Clinic Health System-southwest Minnesota Region | Clinic/Center | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2017-05-11 |
| 1881121648 | Mayo Clinic Health System-southwest Minnesota Region | Durable Medical Equipment & Medical Supplies | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2017-05-11 |
| 1225473770 | Mayo Clinic Health System-southwest Minnesota Region | Non-Pharmacy Dispensing Site | 625 N Jackson Ave, Springfield, MN 56087-1714 | 2013-05-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION | 1025 Marsh St, Mankato, MN 56001-4752 |
| Street Address |
501 STATE ST N |
| City | WASECA |
| State | MN |
| Zip Code | 56093-2811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154316248 | Lori R Schumacher | Physician Assistant | 501 State St N, Waseca, MN 56093-2811 | 2005-09-14 |
| 1902468507 | Luke Crance | Physician Assistant | 501 State St N, Waseca, MN 56093-2811 | 2019-07-03 |
| 1962919365 | Abigail Ann Bartz | Nurse Practitioner | 501 State St N, Waseca, MN 56093-2811 | 2018-01-07 |
| 1023520269 | Regan Marie Kriechbaum | Physical Therapist | 501 State St N, Waseca, MN 56093-2811 | 2017-10-27 |
| 1265943914 | Ryan Craig Buchele | Physical Therapist | 501 State St N, Waseca, MN 56093-2811 | 2017-10-21 |
| 1801307574 | Kelsey Nicole Raddawi | Physical Therapist | 501 State St N, Waseca, MN 56093-2811 | 2017-10-20 |
| 1053822734 | Elizabeth Thon | Physical Therapist | 501 State St N, Waseca, MN 56093-2811 | 2017-10-20 |
| 1710498506 | Joshua Douglas Berndt | Physical Therapist | 501 State St N, Waseca, MN 56093-2811 | 2017-10-19 |
| 1639607344 | Everett Russell Kalcec | Family Medicine | 501 State St N, Waseca, MN 56093-2811 | 2017-05-24 |
| 1073063889 | Judith Onduso | Nurse Practitioner | 501 State St N, Waseca, MN 56093-2811 | 2016-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437789781 | Anita Mae Thompson | Technician | 41306 120th St, Waseca, MN 56093 | 2020-01-24 |
| 1124572490 | Jordan Wong | Dentist | 1000 Sw University Dr, Waseca, MN 56093 | 2016-08-04 |
| 1952649451 | Alee Services | In Home Supportive Care | 37437 Highway 13 N., Waseca, MN 56093 | 2013-01-18 |
| 1437206679 | John Max Gutfleisch | Optometrist | 1111 2nd St Ne, Waseca, MN 56093 | 2007-01-03 |
| 1275610008 | David Anthony Arnfelt | Chiropractor | 1501 North State St, Waseca, MN 56093 | 2006-11-01 |
| 1639284847 | Rebecca R Thompson | Dentist | 1504 4th St. Ne, Waseca, MN 56093 | 2006-08-20 |
| 1144264938 | Timothy Jon Flor | Dentist | 1505 North State Street, Waseca, MN 56093 | 2006-06-15 |
| 1942277165 | Sandra J. Lauring | Family Medicine | Waseca Medical Center - Mayo Health System, 501 N State St, Waseca, MN 56093 | 2006-03-07 |
| 1740256668 | Mayo Clinic Health System-southwest Minnesota Region | General Acute Care Hospital | 501 North State Street, Waseca, MN 56093 | 2006-02-28 |
| 1356792808 | Mayo Clinic Health System | Clinic/Center | 501 N State St, Waseca, MN 56093 | 2016-06-27 |
| Find all providers in zip 56093 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855162 | The Duluth Clinic Ltd | Clinic/Center | 1600 Miller Trunk Hwy Ste 1300, Duluth, MN 55811-5640 | 2020-06-16 |
| 1184250060 | Premise Health of Minnesota Medical P C | Clinic/Center | 1906 8th St Nw, Austin, MN 55912-2473 | 2020-03-23 |
| 1053952606 | Fairview Express Care | Clinic/Center | 2512 6th Street, Suite F105, Minneapolis, MN 55454-1401 | 2019-10-04 |
| 1730731464 | St Marys Regional Health Center | Clinic/Center | 1103 1st St E, Park Rapids, MN 56470 | 2019-07-12 |
| 1003478892 | The Duluth Clinic Ltd | Clinic/Center | 4289 Ugstad Rd, Hermantown, MN 55811-3615 | 2019-07-02 |
| 1073005856 | Arbor Integrative Behavioral Health | Clinic/Center | 1000 E 1st St Ste 105, Duluth, MN 55805-2297 | 2018-06-06 |
| 1689161077 | Chs Tennessee Medical P C | Clinic/Center | 701 Brooks Ave S, Thief River Falls, MN 56701-2757 | 2018-04-20 |
| 1427557867 | Gillette Children's Specialty Healthcare | Clinic/Center | 505 Paul Bunyan Dr Nw, Bemidji, MN 56601-2400 | 2018-02-11 |
| 1992224331 | Orthopedic & Sports Physical Therapy, Inc. | Clinic/Center | 322 N Tower Rd, Fergus Falls, MN 56537-1015 | 2017-09-18 |
| 1003339789 | Centracare Clinic | Clinic/Center | 2025 Stearns Way Ste 114, Saint Cloud, MN 56303 | 2017-07-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MAYO CLINIC HEALTH SYSTEM-SOUTHWEST 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.