MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION (NPI# 1790791077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790791077 |
| Entity Type | Organization |
| Organization Name | MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION |
| Other Organization Name | MAYO CLINIC HEALTH SYSTEM-CANNON FALLS |
| Practice Address |
32021 County Road 24 Blvd. Cannon Falls MN 55009 |
| Practice Telephone | 5072636000 |
| Mailing Telephone | 5072636000 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2017-11-15 |
| Authorized Official Name | DOUGLAS PARKS (CHAIR ADMINISTRATION) |
| Authorized Official Telephone | 5072665010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BC/BS | OM23ECA | 01 |
| Other Name | Type Code |
|---|---|
| Mayo Clinic Health System-Cannon Falls | 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 |
| 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 |
| 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 |
| 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 |
32021 COUNTY ROAD 24 BLVD. |
| City | CANNON FALLS |
| State | MN |
| Zip Code | 55009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063435410 | Mayo Clinic Health System-southeast Minnesota Region | General Acute Care Hospital | 32021 County Road 24 Blvd., Cannon Falls, MN 55009 | 2006-07-26 |
| 1497281695 | Mayo Clinic Health System-southeast Minnesota Region | Clinic/Center | 32021 County Road 24 Blvd., Cannon Falls, MN 55009-5003 | 2017-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952813784 | Curtis John Beissel | Physical Therapist | 32021 Count 24 Blvd, Cannon Falls, MN 55009 | 2017-11-02 |
| 1316399330 | Amy Lee Mcalister | Nurse Practitioner | 32021 County Rd 24 Blvd., Cannon Falls, MN 55009 | 2016-07-02 |
| 1265773295 | Gregory Marcus Schwartz | Pharmacist | 108 North 4th, Cannon Falls, MN 55009 | 2013-03-15 |
| 1184637753 | Mark J Juetten | Dentist | 31378 Co 24 Blvd, Cannon Falls, MN 55009 | 2006-08-14 |
| 1497711089 | Nadia Maradiaga Weber | Dentist | 925 4th Street South, Cannon Falls, MN 55009 | 2006-04-24 |
| 1881997070 | Weber Family Dentistry LLC | Dentist | 925 4th Street South, Cannon Falls, MN 55009 | 2010-12-10 |
| 1164489266 | Gregory Stephen Weber | Dentist | 925 4th Street South, Cannon Falls, MN 55009 | 2006-05-01 |
| 1902872641 | David G Detert | Family Medicine | 1705 N Highway 20, Cannon Falls, MN 55009-1187 | 2006-02-23 |
| 1093377038 | Amanda Claire Rowles | Registered Nurse | 720 River Rd, Cannon Falls, MN 55009-1441 | 2019-06-30 |
| 1477613768 | City of Cannon Falls | Ambulance | 918 River Rd, Cannon Falls, MN 55009-1447 | 2006-12-10 |
| Find all providers in zip 55009 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881039659 | Metropolitan Health Medical Center | Medicare Defined Swing Bed Unit | 3055 Old Highway 8 Ste 2, St Anthony, MN 55418-2500 | 2013-05-07 |
| 1952359614 | Centracare Health System - Long Prairie | Medicare Defined Swing Bed Unit | 50 Centracare Dr, Long Prairie, MN 56347 | 2006-05-05 |
| 1952370348 | City of Sleepy Eye | Medicare Defined Swing Bed Unit | 400 4th Ave Nw, Sleepy Eye, MN 56085-1109 | 2006-03-16 |
| 1932738218 | Essentia Health Moose Lake | Medicare Defined Swing Bed Unit | 4572 County Road 61, Moose Lake, MN 55767-9401 | 2020-04-07 |
| 1578106498 | Avera Granite Falls | Medicare Defined Swing Bed Unit | 345 10th Ave, Granite Falls, MN 56241-1442 | 2019-10-23 |
| 1285116061 | Carris Health - Redwood LLC | Medicare Defined Swing Bed Unit | 100 Fallwood Rd, Redwood Falls, MN 56283-1828 | 2018-08-29 |
| 1578078036 | Winona Health Services | Medicare Defined Swing Bed Unit | 855 Mankato Ave, Winona, MN 55987-4868 | 2017-12-06 |
| 1649705690 | Stevens Community Medical Center Inc | Medicare Defined Swing Bed Unit | 400 E. 1st Street, Morris, MN 56267 | 2017-04-27 |
| 1316374978 | Bridges Medical Center | Medicare Defined Swing Bed Unit | 201 9th St W, Ada, MN 56510-1279 | 2013-09-27 |
| 1457786972 | Centracare Health-paynesville LLC | Medicare Defined Swing Bed Unit | 200 W 1st St, Paynesville, MN 56362-1445 | 2013-09-04 |
| Find all providers with the same taxonomy | ||||
| City | CANNON FALLS |
| Zip Code | 55009 |
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.