MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION (NPI# 1124035282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124035282 |
| 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 Street Ne New Prague MN 56071 |
| Practice Telephone | 9527584431 |
| Practice Fax Number | 9527587876 |
| Mailing Telephone | 9527584431 |
| Mailing Fax Number | 9527587876 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2017-11-15 |
| 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 | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| 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 |
| 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 |
| 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 |
301 2ND STREET NE |
| City | NEW PRAGUE |
| State | MN |
| Zip Code | 56071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295805331 | Renae Madison Gage | Emergency Medicine | 301 2nd Street Ne, New Prague, MN 56071 | 2006-11-08 |
| 1609979194 | Carmelle A Mcharg | Nurse Anesthetist, Certified Registered | 301 2nd Street Ne, New Prague, MN 56071 | 2006-09-07 |
| 1891898938 | Francis T Razidlo | Emergency Medicine | 301 2nd Street Ne, New Prague, MN 56071 | 2006-09-06 |
| 1336242486 | Timothy J Miller | Emergency Medicine | 301 2nd Street Ne, New Prague, MN 56071 | 2006-09-06 |
| 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 |
| 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 |
| 1225396492 | Mary F Taylor | Dietitian, Registered | 301 2nd St Ne, New Prague, MN 56071 | 2012-04-25 |
| 1902093768 | John Edward Tieben | Family Medicine | 301 2nd St Ne, New Prague, MN 56071 | 2007-09-26 |
| Find all providers in zip 56071 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| 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.