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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 330838 | MN | Suppliers |
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 |
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 |
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 |
Street Address |
404 W FOUNTAIN ST STE 3 |
City | ALBERT LEA |
State | MN |
Zip Code | 56007-2437 |
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 |
Find all providers in zip 56007 |
Taxonomy Code | 332H00000X |
Grouping | Suppliers |
Classification | Eyewear Supplier (Equipment, not the service) |
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
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 |
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 |
City | ALBERT LEA |
Zip Code | 56007 |
Please comment or provide details below to improve the information on MAYO CLINIC HEALTH SYSTEM-SOUTHEAST 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.