MAYO CLINIC HEALTH SYSTEM-ST JAMES (NPI# 1356940555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356940555 |
| Entity Type | Organization |
| Organization Name | MAYO CLINIC HEALTH SYSTEM-ST JAMES |
| Practice Address |
1101 Moulton and Parsons Dr Saint James MN 56081-5550 |
| Practice Telephone | 5073753261 |
| Mailing Telephone | 5073753261 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| Authorized Official Name | PRAVEEN MEKALA (CFO) |
| Authorized Official Telephone | 5072661557 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154564011 | Mayo Clinic Health System-st James | Non-Pharmacy Dispensing Site | 1101 Moulton and Parsons Dr, Saint James, MN 56081-5550 | 2009-04-08 |
| 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 |
| 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 |
| 1154564011 | Mayo Clinic Health System-st James | Non-Pharmacy Dispensing Site | 1101 Moulton and Parsons Dr, Saint James, MN 56081-5550 | 2009-04-08 |
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902364482 | St Mary's Regional Health Center | Clinic/Center | 300 E Main Ave, Frazee, MN 56544-4504 | 2019-03-04 |
| 1508378324 | International Falls Memorial Hospital Association | Clinic/Center | 912 Main St Unit C, Littlefork, MN 56653-9379 | 2017-11-02 |
| 1407262405 | Tri-county Hospital, Inc. | Clinic/Center | 102 Farwell St S, Verndale, MN 56481 | 2014-07-10 |
| 1457624272 | Sanford Health of Northern Minnesota | Clinic/Center | 22 Elm St Nw, Clearbrook, MN 56634 | 2012-02-10 |
| 1750671186 | Riverview Healthcare Association | Clinic/Center | 306 N Mill St, Fertile, MN 56540-4330 | 2011-04-19 |
| 1952690034 | Hendricks Community Hospital Assn & Retirement Home | Clinic/Center | 315 N Norman St, Ivanhoe, MN 56142-9580 | 2011-03-29 |
| 1992012207 | County of Kanabec | Clinic/Center | 1425 Main Street North, Pine City, MN 55063-1530 | 2010-09-08 |
| 1578736492 | Healthpartners Rc | Clinic/Center | 131 Birch Avenue, Hector, MN 55342-0117 | 2008-04-11 |
| 1730352675 | Healthpartners Rc | Clinic/Center | 420 Main Street North, Renville, MN 56284-0606 | 2008-04-11 |
| 1578735833 | County of Murray | Clinic/Center | 119 N St Paul Ave, Fulda, MN 56131-1156 | 2008-03-27 |
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| 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.