MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION


Address: 301 2nd St Ne, New Prague, MN 56071-1709
Phone: 9526532528

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332900000X Non-Pharmacy Dispensing Site Suppliers

Other Provider/Organization Names

Other Name Type Code
Mayo Clinic Health System-New Prague Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 301 2ND ST NE
City NEW PRAGUE
State MN
Zip Code 56071-1709

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 332900000X
Grouping Suppliers
Classification Non-Pharmacy Dispensing Site

Taxonomy Definition

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]

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City NEW PRAGUE
Zip Code 56071

Improve Information

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Dataset Information

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.

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