MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION (NPI# 1740256668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740256668 |
Entity Type | Organization |
Organization Name | MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION |
Other Organization Name | MAYO CLINIC HEALTH SYSTEM-WASECA |
Practice Address |
501 North State Street Waseca MN 56093 |
Mailing Address |
501 North State Street Waseca MN 56063 |
Practice Telephone | 5078351210 |
Practice Fax Number | 5077818945 |
Mailing Telephone | 5078351210 |
Mailing Fax Number | 5077818945 |
Enumeration Date | 2006-02-28 |
Last Update Date | 2017-11-16 |
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 |
---|---|---|---|---|---|
N | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
323805 | MN | Hospitals |
Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | BCBS | 1710HWA | 01 |
MN | 204547800 | 05 |
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 |
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 |
1518494251 | Mayo Clinic Health System-southwest Minnesota Region | Clinic/Center | 501 State St N, Waseca, MN 56093-2811 | 2017-05-12 |
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 NORTH STATE STREET |
City | WASECA |
State | MN |
Zip Code | 56093 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942277769 | Mayo Clinic Health System-southwest Minnesota Region | General Acute Care Hospital | 501 North State Street, Waseca, MN 56093 | 2006-03-01 |
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 |
1356792808 | Mayo Clinic Health System | Clinic/Center | 501 N State St, Waseca, MN 56093 | 2016-06-27 |
1235517673 | Breanna Weisbrod | Registered Nurse | 501 State St N, Waseca, MN 56093 | 2015-05-18 |
Find all providers in zip 56093 |
Taxonomy Code | 282NC0060X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Critical Access |
Definition to come. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942277769 | Mayo Clinic Health System-southwest Minnesota Region | General Acute Care Hospital | 501 North State Street, Waseca, MN 56093 | 2006-03-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730565185 | Eric Ray Watt | General Acute Care Hospital | 7309 E Franklin Cir, Eden Prairie, MN 55346-3818 | 2015-08-08 |
1659618742 | Madelia Com Hospital Inc. | General Acute Care Hospital | 621 W Nathan St, Lake Crystal, MN 56055-2116 | 2013-01-09 |
1932468683 | Lakewood Health System | General Acute Care Hospital | 401 Prairie Ave. N., 49725 Co. Hwy 83, Staples, MN 56479 | 2012-05-15 |
1912121484 | Ely Bloomenson Community Hospital & Nursing Home | General Acute Care Hospital | 328 W Conan Street, Ely, MN 55731-1198 | 2007-04-13 |
1295859411 | Clearwater County Memorial Hospital | General Acute Care Hospital | 203 4th St. N.w., Bagley, MN 56621 | 2007-03-16 |
1174668081 | Timoth Y John Peterson | General Acute Care Hospital | St. Francis Healthcare Campus, 2400 St. Francis Drive, Breckenridge, MN 56520 | 2007-02-20 |
1487712493 | Cook County Hospital District | General Acute Care Hospital | 515 5th Ave W, Grand Marais, MN 55604-3017 | 2006-12-04 |
1316014202 | St Josephs Community Dental Clinic | General Acute Care Hospital | 205 Pleasant Ave S, Park Rapids, MN 56470-1434 | 2006-11-29 |
1053497214 | County of Murray | General Acute Care Hospital | 2042 Juniper Ave, Slayton, MN 56172-1017 | 2006-10-31 |
1699879833 | Unity Family Healthcare | General Acute Care Hospital | 300 3rd Ave, Albany, MN 56307-9363 | 2006-09-08 |
Find all providers with the same taxonomy |
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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.