MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION (NPI# 1225473770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225473770 |
| Entity Type | Organization |
| Organization Name | MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION |
| Other Organization Name | MAYO CLINIC HEALTH SYSTEM-SPRINGFIELD |
| Practice Address |
625 N Jackson Ave Springfield MN 56087-1714 |
| Mailing Address |
6501 City West Pkwy Eden Prairie MN 55344-3248 |
| Practice Telephone | 5073854658 |
| Mailing Telephone | 9526532568 |
| Enumeration Date | 2013-05-09 |
| 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-Springfield | 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 |
625 N JACKSON AVE |
| City | SPRINGFIELD |
| State | MN |
| Zip Code | 56087-1714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619945052 | Mayo Clinic Health System-southwest Minnesota Region | General Acute Care Hospital | 625 N Jackson Ave, Springfield, MN 56087-1714 | 2006-03-10 |
| 1932717485 | Joshua Hoffmann | Nurse Practitioner | 625 N Jackson Ave, Springfield, MN 56087-1714 | 2020-07-21 |
| 1639702988 | Cliff Heglund | Physical Therapy Assistant | 625 N Jackson Ave, Springfield, MN 56087-1714 | 2020-02-14 |
| 1821620790 | Sharon Lynn Meyer | Occupational Therapist | 625 N Jackson Ave, Springfield, MN 56087-1714 | 2020-02-10 |
| 1801428081 | Karole Lieb | Occupational Therapist | 625 N Jackson Ave, Springfield, MN 56087-1714 | 2020-02-06 |
| 1518505254 | Allina Health System | Family Medicine | 625 N Jackson Ave, Springfield, MN 56087-1714 | 2019-12-12 |
| 1861903650 | Melissa Sue Wegscheid | Occupational Therapist | 625 N Jackson Ave, Springfield, MN 56087-1714 | 2017-10-19 |
| 1821507500 | Christina Marie Vogel | Nurse Practitioner | 625 N Jackson Ave, Springfield, MN 56087-1714 | 2017-09-25 |
| 1972030740 | Mayo Clinic Health System-southwest Minnesota Region | Clinic/Center | 625 N Jackson Ave, Springfield, MN 56087-1714 | 2017-05-11 |
| 1871997098 | Kristina Dittrich | Pharmacist | 625 N Jackson Ave, Springfield, MN 56087-1714 | 2014-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760824874 | Kristina Rae Carlson | Nurse Practitioner | 625 N. Jackson Avenue, Springfield, MN 56087 | 2013-07-18 |
| 1013027986 | Robert R Belling Jr. | Dentist | 602 N Jackson St, Springfield, MN 56087 | 2006-08-30 |
| 1043288269 | Thomas James Davis | Surgery | 404 W Central St, Springfield, MN 56087 | 2006-03-14 |
| 1083769095 | Pbr Optometrists Ltd of Springfield | Optometrist | 602 North Jackson Ave, Springfield, MN 56087-0186 | 2007-01-23 |
| 1376180109 | Drs. Akre & Clark, Ltd. | Optometrist | 623 W Rock St, Springfield, MN 56087-1028 | 2019-11-27 |
| 1346318110 | Ind School Dist 85 | Local Education Agency (LEA) | 12 Burns Ave, Springfield, MN 56087-1202 | 2006-12-01 |
| 1124649702 | Bridget Fenger | Specialist/Technologist | 521 W Central St, Springfield, MN 56087-1213 | 2020-05-05 |
| 1043279243 | Bradley Jay Haugo | Chiropractor | 10 N O Connell Ave, Springfield, MN 56087-1308 | 2006-03-17 |
| 1316009681 | Dr Brad Haugo Dc Chtd | Chiropractor | 10 N O Connell Ave, Springfield, MN 56087-1308 | 2006-12-14 |
| 1528436607 | Superior Mobility LLC | Non-emergency Medical Transport (VAN) | 21 N Cass Ave, Springfield, MN 56087-1501 | 2015-09-08 |
| Find all providers in zip 56087 | ||||
| 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 |
|---|---|---|---|---|
| 1710516901 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 504 22nd Ave E, Springfield, TN 37172-3754 | 2020-04-08 |
| 1568945103 | Ficom | Non-Pharmacy Dispensing Site | 1308 North Glenstone Avenue, Springfield, MO 65802 | 2018-09-10 |
| 1811131956 | U.S. Optical | Non-Pharmacy Dispensing Site | 2346 S Campbell Ave, Springfield, MO 65807-2972 | 2009-04-20 |
| 1225541188 | Springfield Clinic LLP | Non-Pharmacy Dispensing Site | 2200 Wabash Ave, Springfield, IL 62704-5352 | 2017-11-14 |
| 1669985602 | Springfield Clinic LLP | Non-Pharmacy Dispensing Site | 1025 S 6th St, Springfield, IL 62703-2403 | 2017-11-13 |
| 1932511870 | Patient First Pennsylvania Medical Group | Non-Pharmacy Dispensing Site | 417 Baltimore Pike, Springfield, PA 19064-3810 | 2014-05-27 |
| 1659713345 | Peace Health | Non-Pharmacy Dispensing Site | 3333 Riverbend Dr, Springfield, OR 97477-8800 | 2013-07-23 |
| 1528388485 | Springfield Health Care Center, Inc. | Non-Pharmacy Dispensing Site | 2624 Lexington Ave, 200, Springfield, OH 45505-2607 | 2010-06-02 |
| 1104062371 | Willamette Community Medical Group, LLC | Non-Pharmacy Dispensing Site | 5781 Main St, Springfield, OR 97478-5426 | 2008-12-18 |
| 1023069473 | Planned Parenthood League of Ma | Non-Pharmacy Dispensing Site | Karen Loeb Lifford Md, 3550 Main St Ste 201, Springfield, MA 01107 | 2006-05-12 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 56087 |
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.