MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION (NPI# 1760529119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760529119 |
Entity Type | Organization |
Organization Name | MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION |
Other Organization Name | MAYO CLINIC HEALTH SYSTEM-NEW PRAGUE |
Practice Address |
301 2nd St Ne New Prague MN 56071-1709 |
Mailing Address |
6501 City West Pkwy Eden Prairie MN 55344-3248 |
Practice Telephone | 9526532528 |
Enumeration Date | 2007-02-01 |
Last Update Date | 2017-11-28 |
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 | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
Other Name | Type Code |
---|---|
Mayo Clinic Health System-New Prague | 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 |
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 |
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 |
301 2ND ST NE |
City | NEW PRAGUE |
State | MN |
Zip Code | 56071-1709 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972505246 | Sarah L Kratz | Internal Medicine | 301 2nd St Ne, New Prague, MN 56071-1709 | 2005-06-01 |
1619528734 | James Matthew Glogowski | Nurse Anesthetist, Certified Registered | 301 2nd St Ne, New Prague, MN 56071-1709 | 2019-09-20 |
1275014144 | Elizabeth Anna Holmquist | Nurse Practitioner | 301 2nd St Ne, New Prague, MN 56071-1709 | 2018-08-28 |
1447762851 | Lois A Huber | Physical Therapy Assistant | 301 2nd St Ne, New Prague, MN 56071-1709 | 2017-10-26 |
1659882223 | Colleen Marie Turner | Physical Therapist | 301 2nd St Ne, New Prague, MN 56071-1709 | 2017-10-23 |
1578074019 | Tamera Ann Novak | Occupational Therapist | 301 2nd St Ne, New Prague, MN 56071-1709 | 2017-10-23 |
1699286385 | Heidi Bell | Physical Therapist | 301 2nd St Ne, New Prague, MN 56071-1709 | 2017-10-20 |
1467963272 | Stephanie Nicole Gill | Physical Therapist | 301 2nd St Ne, New Prague, MN 56071-1709 | 2017-10-19 |
1477089407 | Mayo Clinic Health System-southwest Minnesota Region | Clinic/Center | 301 2nd St Ne, New Prague, MN 56071-1709 | 2017-05-11 |
1861936932 | Ellen Shea Kelly | Pharmacist | 301 2nd St Ne, New Prague, MN 56071-1709 | 2016-12-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154827087 | Jeremy Faus | Marriage & Family Therapist | 1405 East Main Street, Suite 2, New Prague, MN 56071 | 2018-03-31 |
1740537331 | Omega Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 125 West Main St, New Prague, MN 56071 | 2012-08-14 |
1811143936 | New Prague Dental Center | Dentist | 101 Lexington Ave S., New Prague, MN 56071 | 2008-08-08 |
1013083039 | Sharon L Bortscheller | Social Worker | 101 Lexington Ave South, New Prague, MN 56071 | 2006-11-28 |
1811082225 | Gregory Raymond Dvorak | Dentist | 136 W. Main St, New Prague, MN 56071 | 2006-10-03 |
1285728352 | Joel Gary Erickson | Chiropractor | 314 Main St E Suite 2, New Prague, MN 56071 | 2006-10-03 |
1124035282 | Mayo Clinic Health System-southwest Minnesota Region | General Acute Care Hospital | 301 2nd Street Ne, New Prague, MN 56071 | 2006-08-02 |
1780641209 | Jun Hong Liang | Family Medicine | 212 County Road 37, New Prague, MN 56071 | 2006-04-27 |
1275195737 | Mosaic Family Services, Ltd. | Counselor | 1405 East Main Street, New Prague, MN 56071 | 2019-07-05 |
1295805331 | Renae Madison Gage | Emergency Medicine | 301 2nd Street Ne, New Prague, MN 56071 | 2006-11-08 |
Find all providers in zip 56071 |
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 |
1083984876 | Mayo Clinic Health System-southeast Minnesota Region | Non-Pharmacy Dispensing Site | 32021 County 24 Boulevard, Cannon Falls, MN 55009-1824 | 2012-01-10 |
1255623765 | Mankato Clinic, Ltd | Non-Pharmacy Dispensing Site | 305 Main St Ne, Mapleton, MN 56065 | 2011-05-03 |
Find all providers with the same taxonomy |
City | NEW PRAGUE |
Zip Code | 56071 |
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.