MAYO CLINIC HEALTH SYSTEM-ST JAMES (NPI# 1154564011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154564011 |
| Entity Type | Organization |
| Organization Name | MAYO CLINIC HEALTH SYSTEM-ST JAMES |
| Practice Address |
1101 Moulton and Parsons Dr Saint James MN 56081-5550 |
| Mailing Address |
6501 City West Pkwy Eden Prairie MN 55344-3248 |
| Practice Telephone | 9526532528 |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2017-12-29 |
| Authorized Official Name | CHARLOTTE NORDRUM (CFO) |
| Authorized Official Telephone | 5075381446 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. JAMES HEALTH SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940555 | Mayo Clinic Health System-st James | Clinic/Center | 1101 Moulton and Parsons Dr, Saint James, MN 56081-5550 | 2020-10-20 |
| Street Address |
1101 MOULTON AND PARSONS DR |
| City | SAINT JAMES |
| State | MN |
| Zip Code | 56081-5550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003899535 | Cinda Lou Wallace | Nurse Practitioner | 1101 Moulton and Parsons Dr, Saint James, MN 56081-5550 | 2005-11-29 |
| 1356940555 | Mayo Clinic Health System-st James | Clinic/Center | 1101 Moulton and Parsons Dr, Saint James, MN 56081-5550 | 2020-10-20 |
| 1982225330 | Dayn Kenneth Besel | Physical Therapist | 1101 Moulton and Parsons Dr, Saint James, MN 56081-5550 | 2020-04-27 |
| 1154973329 | Paige Marie Gernes | Physician Assistant | 1101 Moulton and Parsons Dr, Saint James, MN 56081-5550 | 2019-07-09 |
| 1023478146 | Kyle Robert Elliott | Nurse Practitioner | 1101 Moulton and Parsons Dr, Saint James, MN 56081-5550 | 2016-03-02 |
| 1922406222 | Luis Santiago Escobar Acevedo | Physician Assistant | 1101 Moulton and Parsons Dr, Saint James, MN 56081-5550 | 2014-12-18 |
| 1386040475 | Vanda Jandl | Pharmacist | 1101 Moulton and Parsons Dr, Saint James, MN 56081-5550 | 2014-11-17 |
| 1093076929 | Timothy David Krueger | Nurse Practitioner | 1101 Moulton and Parsons Dr, Saint James, MN 56081 | 2012-06-07 |
| 1881845683 | Yvonne Myrna Gratz | Nurse Practitioner | 1101 Moulton and Parsons Dr, Saint James, MN 56081-5550 | 2008-10-10 |
| 1487816872 | David Alan Steele | Nurse Practitioner | 1101 Moulton and Parsons Dr, Saint James, MN 56081 | 2008-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750921250 | Marjorie Ploeger | Pharmacist | 1105 13th Ave South, Saint James, MN 56081 | 2020-01-13 |
| 1639634710 | Lewis Family Drug, LLC | Pharmacy | 1105 13th Ave S, Saint James, MN 56081 | 2019-02-04 |
| 1326219338 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 1110 Second St S, St James, MN 56081 | 2008-03-18 |
| 1679625628 | Drs Moulton & Parsons Md | Family Medicine | 502 2nd Ave S, St James, MN 56081 | 2007-01-18 |
| 1124132956 | Lindy C Eatwell | Family Medicine | 1101 Moulton and Parson Drive, St James, MN 56081-0460 | 2006-08-18 |
| 1568419638 | Joseph Henry Hamm | Family Medicine | 1101 Moulton and Parsons Drive, St James, MN 56081-0460 | 2006-05-27 |
| 1962441477 | Kara Elizabeth Anderson | Nurse Practitioner | 1101 Moulton and Parsons Drive, St James, MN 56081-0460 | 2006-06-06 |
| 1720448400 | Brigette Glienke | Community Health Worker | 717 1st St N, Saint James, MN 56081-1130 | 2016-02-24 |
| 1497879977 | David J Haler | Chiropractor | 700 1st St S, Saint James, MN 56081-1308 | 2007-03-19 |
| 1225037708 | Curtis Leon Leimer | Chiropractor | 800 Weston Ave, St James, MN 56081-1642 | 2005-07-18 |
| Find all providers in zip 56081 | ||||
| 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 | SAINT JAMES |
| Zip Code | 56081 |
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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.