MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION


Address: 404 W Fountain St Ste 3, Albert Lea, MN 56007-2437
Phone: 5073732384

MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION (NPI# 1396832606) 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) 1396832606
Entity Type Organization
Organization Name MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION
Other Organization Name MAYO CLINIC HEALTH SYSTEM-ALBERT LEA
Practice Address 404 W Fountain St Ste 3
Albert Lea
MN 56007-2437
Practice Telephone 5073732384
Mailing Telephone 5073732384
Enumeration Date 2006-10-06
Last Update Date 2019-10-07
Authorized Official Name MR. ERIC CROCKETT (CHAIR ADMINISTRATION)
Authorized Official Telephone 5074225678
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332H00000X Eyewear Supplier (Equipment, not the service) 330838 MN Suppliers

Other Provider/Organization Names

Other Name Type Code
Mayo Clinic Health System-Albert Lea Doing Business As Name - Organization
Mayo Clinic Health System-Albert Lea and Austin 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
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
1275060030 Mayo Clinic Health System-southeast Minnesota Region Clinic/Center 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 404 W FOUNTAIN ST STE 3
City ALBERT LEA
State MN
Zip Code 56007-2437

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700395860 Kelsey Paulson Massage Therapist 1629 West Main Street, Touchworks Massage Skyline Plaza, Albert Lea, MN 56007 2017-09-21
1366984536 Allied Health Care Professional Service Corporation Health Maintenance Organization 140 W Clark St, Albert Lea, MN 56007 2016-11-05
1174875165 Michael Gene White Pharmacist 1615 West Main St, Albert Lea, MN 56007 2012-10-15
1841596384 Elizabeth Jordan Berg Chiropractor 72599 220th St, Albert Lea, MN 56007 2011-02-01
1235453606 Michael Aaron Starner Physician Assistant 404 W Fountain St Unit 516, Albert Lea, MN 56007 2010-03-15
1215149364 John M Enger, Professional Association Podiatrist 904 E Plaza Street, Albert Lea, MN 56007 2007-05-03
1760532485 Lowell Wherry Barr Pediatrics 203 W Clark, Albert Lea, MN 56007 2007-01-12
1073688917 Wendy Elizabeth Walker Psychologist 117 South Newton Avenue, Albert Lea, MN 56007 2006-11-22
1487739090 Rem Woodvale Inc Intermediate Care Facility, Mentally Retarded 1204 Plainview Lane, Albert Lea, MN 56007 2006-10-25
1275621294 Eleanor Wanden Technician 1815 Minnesota Ave, Albert Lea, MN 56007 2006-10-11
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Taxonomy Information

Taxonomy Code 332H00000X
Grouping Suppliers
Classification Eyewear Supplier (Equipment, not the service)

Taxonomy Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528010642 Shopko Stores Operating Co. LLC Eyewear Supplier (Equipment, not the service) 2610 Bridge Ave, Albert Lea, MN 56007-2075 2006-05-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801493903 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 11995 Business Park Blvd N, Champlin, MN 55316 2020-10-02
1659920460 Jand. Inc. Eyewear Supplier (Equipment, not the service) 3408 Galleria, Edina, MN 55435 2019-09-05
1891351268 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 1101 E College Dr, Marshall, MN 56258-2366 2019-05-11
1730745100 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 1459 W Service Dr, Winona, MN 55987-2512 2019-05-11
1649836016 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 1023 E Blue Earth Ave, Fairmont, MN 56031-4076 2019-05-11
1124684592 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 1004 18th Ave Nw Ste D, Austin, MN 55912-1993 2019-05-11
1053977421 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 1620 Broadway Ave S Ste 4, Rochester, MN 55904-7927 2019-05-11
1942866371 Shoptikal LLC Eyewear Supplier (Equipment, not the service) 4051 W Division St Ste A, Saint Cloud, MN 56301-3741 2019-05-10
1831651165 Don Sealock, O.d., P.a. Eyewear Supplier (Equipment, not the service) 3366 Oakdale Ave N Ste 140, Robbinsdale, MN 55422-2961 2019-04-04
1538624341 Don Sealock, O.d., P.a. Eyewear Supplier (Equipment, not the service) 9825 Hospital Dr # 106, Maple Grove, MN 55369-4479 2019-02-06
Find all providers with the same taxonomy

Competitor

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City ALBERT LEA
Zip Code 56007

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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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