MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION


Address: 2200 Nw 26th St, Owatonna, MN 55060-5503
Phone: 5074511120

MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION (NPI# 1275060030) 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) 1275060030
Entity Type Organization
Organization Name MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION
Other Organization Name MAYO CLINIC HEALTH SYSTEM-OWATONNA
Practice Address 2200 Nw 26th St
Owatonna
MN 55060-5503
Practice Telephone 5074511120
Mailing Telephone 5074511120
Enumeration Date 2017-05-11
Last Update Date 2017-11-15
Authorized Official Name DAVID BERG (ADMINISTRATOR)
Authorized Official Telephone 5074554441
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider/Organization Names

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

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1083984876 Mayo Clinic Health System-southeast Minnesota Region Non-Pharmacy Dispensing Site 32021 County 24 Boulevard, Cannon Falls, MN 55009-1824 2012-01-10
1396832606 Mayo Clinic Health System-southeast Minnesota Region Eyewear Supplier (Equipment, not the service) 404 W Fountain St Ste 3, Albert Lea, MN 56007-2437 2006-10-06
1063435410 Mayo Clinic Health System-southeast Minnesota Region General Acute Care Hospital 32021 County Road 24 Blvd., Cannon Falls, MN 55009 2006-07-26
1851310247 Mayo Clinic Health System-southeast Minnesota Region Hospice Care, Community Based 101 14th St Nw, Austin, MN 55912 2006-07-18
1811500341 Mayo Clinic Health System-southeast Minnesota Region Non-Pharmacy Dispensing Site 1000 1st Dr Nw, Austin, MN 55912-2941 2020-08-25
1487267910 Mayo Clinic Health System-southeast Minnesota Region Non-Pharmacy Dispensing Site 404 W Fountain St, Albert Lea, MN 56007-2437 2020-08-25
1528595386 Mayo Clinic Health System-southeast Minnesota Region Durable Medical Equipment & Medical Supplies 2200 Nw 26th St, Owatonna, MN 55060-5503 2017-05-11
1073040838 Mayo Clinic Health System-southeast Minnesota Region Durable Medical Equipment & Medical Supplies 300 State Ave, Faribault, MN 55021-6319 2017-05-11
1497281695 Mayo Clinic Health System-southeast Minnesota Region Clinic/Center 32021 County Road 24 Blvd., Cannon Falls, MN 55009-5003 2017-05-08
1114453883 Mayo Clinic Health System-southeast Minnesota Region Clinic/Center 701 Hewitt Blvd, Red Wing, MN 55066-2848 2017-05-02

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION 404 Fountain St, Albert Lea, MN 56007-2437
Iowa Business Entities MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION 1000 First Dr Nw, Austin, MN 55912

Office Location

Street Address 2200 NW 26TH ST
City OWATONNA
State MN
Zip Code 55060-5503

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154324846 Sara L. Packard Physician Assistant 2200 Nw 26th St, Owatonna, MN 55060-5503 2005-05-27
1275146680 Jessica K Phelps Nurse Practitioner 2200 Nw 26th St, Owatonna, MN 55060-5503 2020-08-25
1588299804 Cayla Kathleen Witte Physician Assistant 2200 Nw 26th St, Owatonna, MN 55060-5503 2020-03-06
1457909384 Aicha Sylvie Katty Nurse Practitioner 2200 Nw 26th St, Owatonna, MN 55060-5503 2019-09-04
1366091266 Melanie Kay Busch Nurse Practitioner 2200 Nw 26th St, Owatonna, MN 55060-5503 2019-09-04
1013576982 Brady Michael Gross Physician Assistant 2200 Nw 26th St, Owatonna, MN 55060-5503 2019-06-13
1023573193 Kayla Marie Cook Physician Assistant 2200 Nw 26th St, Owatonna, MN 55060-5503 2019-02-04
1467926618 Megan Alm Physician Assistant 2200 Nw 26th St, Owatonna, MN 55060-5503 2019-01-21
1356814271 Mallory Lynn Berry Family Medicine 2200 Nw 26th St, Owatonna, MN 55060-5503 2019-01-03
1801313796 Melinda Louann Wiese Nurse Practitioner 2200 Nw 26th St, Owatonna, MN 55060-5503 2017-08-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669936480 Lee Joseph Bakewell Nurse Practitioner 2200 Nw 26th St, Owatonna, Owatonna, MN 55060 2019-01-25
1275028227 Karen Brennhofer Audiologist 2200 Nw 26th St Apt 309, Owatonna, MN 55060 2018-06-22
1801326418 Katharyn Kristin Stricklin Registered Nurse 1961 Premier Drive, Suite 340 Mankato, Mankato, MN 55060 2017-06-15
1134666753 Holly Christianson Social Worker 2575 Harvest Lane Nw, Owatonna, MN 55060 2017-01-20
1346613031 Birchwood Cottages Assisted Living Facility 1905 Austin Road, Owatonna, MN 55060 2015-11-04
1881080067 Cory Michael Kopas Chiropractor 130 26th Street Nw, Owatonna, MN 55060 2015-04-14
1528456613 Quality Home Health Care Inc. Home Health 201 East Front Street, Owatonna, MN 55060 2014-12-26
1194017624 Amy Louise Haycraft Nurse Practitioner South Central Human Relations Center, 610 Florence Ave, Owatonna, MN 55060 2011-05-02
1710123971 Rahn Optometry Inc Optometrist 1130 W. Frontage Rd, Owatonna, MN 55060 2008-12-18
1063616993 Michael John Dickman Dentist 1414 S Oak Ave Suite Five, Owatonna, MN 55060 2007-06-13
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1245855162 The Duluth Clinic Ltd Clinic/Center 1600 Miller Trunk Hwy Ste 1300, Duluth, MN 55811-5640 2020-06-16
1184250060 Premise Health of Minnesota Medical P C Clinic/Center 1906 8th St Nw, Austin, MN 55912-2473 2020-03-23
1053952606 Fairview Express Care Clinic/Center 2512 6th Street, Suite F105, Minneapolis, MN 55454-1401 2019-10-04
1730731464 St Marys Regional Health Center Clinic/Center 1103 1st St E, Park Rapids, MN 56470 2019-07-12
1003478892 The Duluth Clinic Ltd Clinic/Center 4289 Ugstad Rd, Hermantown, MN 55811-3615 2019-07-02
1073005856 Arbor Integrative Behavioral Health Clinic/Center 1000 E 1st St Ste 105, Duluth, MN 55805-2297 2018-06-06
1689161077 Chs Tennessee Medical P C Clinic/Center 701 Brooks Ave S, Thief River Falls, MN 56701-2757 2018-04-20
1427557867 Gillette Children's Specialty Healthcare Clinic/Center 505 Paul Bunyan Dr Nw, Bemidji, MN 56601-2400 2018-02-11
1992224331 Orthopedic & Sports Physical Therapy, Inc. Clinic/Center 322 N Tower Rd, Fergus Falls, MN 56537-1015 2017-09-18
1003339789 Centracare Clinic Clinic/Center 2025 Stearns Way Ste 114, Saint Cloud, MN 56303 2017-07-25
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Competitor

Search similar providers

City OWATONNA
Zip Code 55060

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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