MAYO CLINIC HEALTH SYSTEM - MANKATO (NPI# 1588646434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588646434 |
Entity Type | Organization |
Organization Name | MAYO CLINIC HEALTH SYSTEM - MANKATO |
Practice Address |
1324 5th St N New Ulm MN 56073-1514 |
Mailing Address |
1025 Marsh St Mankato MN 56001-4752 |
Practice Telephone | 5073542111 |
Practice Fax Number | 5073894885 |
Mailing Telephone | 5076254031 |
Enumeration Date | 2005-11-16 |
Last Update Date | 2015-12-15 |
Authorized Official Name | MR. JAMES TARASOVITCH (CFO) |
Authorized Official Telephone | 5073856449 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316929268 | Mayo Clinic Health System - Mankato | Clinic/Center | 1025 Marsh St, Mankato, MN 56001-4752 | 2005-11-16 |
Street Address |
1324 5TH ST N |
City | NEW ULM |
State | MN |
Zip Code | 56073-1514 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508851809 | Reid A Horning | Pharmacist | 1324 5th St N, New Ulm, MN 56073-1514 | 2005-09-13 |
1073112421 | Nathan Michael Holm | Nurse Practitioner | 1324 5th St N, New Ulm, MN 56073-1514 | 2020-10-17 |
1164029781 | Lindsey Leann Atchison | Physical Medicine & Rehabilitation | 1324 5th St N, New Ulm, MN 56073-1514 | 2020-10-06 |
1700404308 | Ashley Marie Jensen | Pharmacist | 1324 5th St N, New Ulm, MN 56073-1514 | 2020-07-09 |
1942839048 | Kirstin Peterson | Physical Therapist | 1324 5th St N, New Ulm, MN 56073-1514 | 2020-04-02 |
1720610900 | Liza Ann Rignell | Speech-Language Pathologist | 1324 5th St N, New Ulm, MN 56073-1514 | 2020-02-06 |
1457903668 | Kelly Marie Beneke | Pharmacist | 1324 5th St N, New Ulm, MN 56073-1514 | 2019-07-09 |
1235794355 | Cole Mckeown | Physical Therapist | 1324 5th St N, New Ulm, MN 56073-1514 | 2019-05-03 |
1710497037 | Laura Elizabeth Boraas | Physical Therapist | 1324 5th St N, New Ulm, MN 56073-1514 | 2017-10-02 |
1548780570 | Amanda Jean Fuchs | Speech-Language Pathologist | 1324 5th St N, New Ulm, MN 56073-1514 | 2017-06-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811405376 | Serenity Family Counseling LLC | Social Worker | 15 South Minnesota Street, New Ulm, MN 56073 | 2018-01-18 |
1962940338 | Ambassadors for Spiritual & Mental Wellness | Clinic/Center | 23 Minnesota St S, New Ulm, MN 56073 | 2017-02-06 |
1124289038 | Highland Manor, Inc | Home Health | 1314 8th Street North, New Ulm, MN 56073 | 2008-06-23 |
1821264854 | Thomas Patrick Keaveny | Social Worker | 1400 6th Street North, New Ulm, MN 56073 | 2008-04-30 |
1558539478 | Jennifer Joy Erdman | Registered Nurse | 6 North Minnesota Street, New Ulm, MN 56073 | 2008-02-13 |
1154522290 | Eon, Inc. | Home Health | 1200 S Broadway, New Ulm, MN 56073 | 2007-05-29 |
1750599643 | New Ulm Chiropractic Office, Pa | Chiropractor | 117 S Broadway, New Ulm, MN 56073 | 2007-05-21 |
1174646392 | Woodview Dental Clinic, Pllc | Dentist | 2000 S Broadway, New Ulm, MN 56073 | 2007-04-10 |
1528199940 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 1720 Westridge Rd, New Ulm, MN 56073 | 2007-03-08 |
1083779912 | Independent School District - 88 | Local Education Agency (LEA) | 414 South Payne Street, New Ulm, MN 56073 | 2006-12-22 |
Find all providers in zip 56073 |
Taxonomy Code | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437694981 | Atlantic Dialysis LLC | Clinic/Center | 701 N Broadway St, New Ulm, MN 56073-1201 | 2016-12-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770183832 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 6160 Summit Dr N Ste 150, Brooklyn Center, MN 55430-2118 | 2020-10-28 |
1902392111 | Chaffee Dialysis LLC | Clinic/Center | 862 Arcade St, Saint Paul, MN 55106 | 2018-07-11 |
1225541055 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 7433 Currell Blvd, Woodbury, MN 55125-2217 | 2017-11-15 |
1154856839 | Avera Marshall | Clinic/Center | 300 S Bruce St Ste D, Marshall, MN 56258-1934 | 2017-05-01 |
1225573777 | Atlantic Dialysis LLC | Clinic/Center | 1802 Commerce Dr, North Mankato, MN 56003-1800 | 2016-12-19 |
1467801860 | Total Renal Care, Inc. | Clinic/Center | 20184 Heritage Dr, Lakeville, MN 55044-6855 | 2016-06-07 |
1003292392 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 17592 Dodd Blvd, Lakeville, MN 55044-3909 | 2015-08-10 |
1629461470 | Babler Dialysis, LLC | Clinic/Center | 2660 S Broadway, Ste A, Rochester, MN 55904-6263 | 2015-03-17 |
1588067391 | Meesa Dialysis LLC | Clinic/Center | 245 Isle St W, Isle, MN 56342-4908 | 2014-10-07 |
1871995415 | Meesa Dialysis LLC | Clinic/Center | 30 25th Ave S, Saint Cloud, MN 56301-6285 | 2014-09-25 |
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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.