MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION (NPI# 1811500341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811500341 |
| Entity Type | Organization |
| Organization Name | MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION |
| Practice Address |
1000 1st Dr Nw Austin MN 55912-2941 |
| Practice Telephone | 5074337351 |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-25 |
| Authorized Official Name | PRAVEEN MEKALA (CFO) |
| Authorized Official Telephone | 5072661557 |
| Is Organization Subpart | Y |
| Parent Organization Name | MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| 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 |
| 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 |
1000 1ST DR NW |
| City | AUSTIN |
| State | MN |
| Zip Code | 55912-2941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316941834 | Diana L Nelson | Physician Assistant | 1000 1st Dr Nw, Austin, MN 55912-2941 | 2005-06-13 |
| 1992325674 | Samantha Jo Barrie | Occupational Therapist | 1000 1st Dr Nw, Austin, MN 55912-2941 | 2020-04-22 |
| 1134752009 | Aejin Kwak | Pharmacist | 1000 1st Dr Nw, Austin, MN 55912-2941 | 2020-02-19 |
| 1518513639 | Sarah Lynne Gerard | Nurse Practitioner | 1000 1st Dr Nw, Austin, MN 55912-2941 | 2019-08-14 |
| 1134684566 | Emily Majerus | Physician Assistant | 1000 1st Dr Nw, Austin, MN 55912-2941 | 2019-02-11 |
| 1154886992 | Jennifer Ann Juers | Nurse Practitioner | 1000 1st Dr Nw, Austin, MN 55912-2941 | 2019-02-06 |
| 1528530821 | Anna Altman | Registered Nurse | 1000 1st Dr Nw, Austin, MN 55912 | 2018-12-26 |
| 1861962045 | Jennifer Rivers | Family Medicine | 1000 1st Dr Nw, Austin, MN 55912-2941 | 2018-11-29 |
| 1972072700 | Kevin Todd Bartenberger | Physician Assistant | 1000 1st Dr Nw, Austin, MN 55912-2941 | 2018-11-22 |
| 1841771532 | Francis Owusu | Nurse Practitioner | 1000 1st Dr Nw, Austin, MN 55912-2941 | 2018-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710538152 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 313 2nd Ave Ne, Austin, MN 55912 | 2019-09-26 |
| 1669029831 | David Kuehn | Specialist/Technologist | 1508 Main St. N, Austin, MN 55912 | 2019-08-22 |
| 1841844396 | Heather A Peterson | Social Worker | 101 21st Street Se, Austin, MN 55912 | 2019-08-01 |
| 1477058287 | Gerard Academy | Counselor | 1101 28th St Ne, Austin, MN 55912 | 2018-03-26 |
| 1821518739 | Steven Register | Specialist/Technologist | 1803 2nd Ave Sw, Austin, MN 55912 | 2017-06-21 |
| 1366849259 | Kristen Ashley Templeton | Dentist | 800 1st Avenue Sw, Austin, MN 55912 | 2014-11-20 |
| 1336560333 | Rem Woodvale, Inc. Cottonwood | Intermediate Care Facility, Mentally Retarded | 2311 9th Avenue Sw, Austin, MN 55912 | 2013-12-18 |
| 1780923458 | Kurt Baumgartner | Hearing Instrument Specialist | 507 1 St Nw, Austin, MN 55912 | 2013-01-31 |
| 1396059242 | Lorna Kay Siefke-harbor | Psychologist | 902 19th Ave Sw, Austin, MN 55912 | 2010-08-03 |
| 1972777068 | Stanley Brent Stutzman | Psychologist | 301 12 Place Nw, Austin, MN 55912 | 2008-04-18 |
| Find all providers in zip 55912 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649407834 | Texas Department of State Health Services | Non-Pharmacy Dispensing Site | 1100 West 49th Street, Austin, TX 78714-9347 | 2009-06-16 |
| 1457706129 | Magnum Health | Non-Pharmacy Dispensing Site | 100 Congress Ave, Suite 2000, Austin, TX 78701-4072 | 2016-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518528397 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | Fairview Lakeville Clinic Mtm, 18580 Joplin Ave, Lakeville, MN 55044 | 2019-06-24 |
| 1851856504 | Tareen Dermatology, Pa | Non-Pharmacy Dispensing Site | 2945 Hazelwood St Ste 230, Maplewood, MN 55109-1241 | 2019-02-07 |
| 1417450651 | Cerner Health Connections, Inc | Non-Pharmacy Dispensing Site | 4001 Lexington Ave N Ste C2-435, Arden Hills, MN 55126-2934 | 2018-03-14 |
| 1316461593 | Fairview Pharmacy Service LLC | Non-Pharmacy Dispensing Site | 7250 France Ave S Ste 410, Edina, MN 55435-4314 | 2017-07-31 |
| 1346653052 | Advanced Spine and Pain Clinics of Mn, LLC | Non-Pharmacy Dispensing Site | 308 Brighton Ave, Suite D, Buffalo, MN 55313-2303 | 2014-06-10 |
| 1407296148 | Group Health Plan Inc | Non-Pharmacy Dispensing Site | 1833 2nd Ave, Anoka, MN 55303-2432 | 2013-06-26 |
| 1295178135 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 6440 Nicollet Ave South, Richfield, MN 55423-1613 | 2013-04-10 |
| 1992148845 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 2450 Riverside Ave South, Minneapolis, MN 55454-1400 | 2013-04-10 |
| 1083984876 | Mayo Clinic Health System-southeast Minnesota Region | Non-Pharmacy Dispensing Site | 32021 County 24 Boulevard, Cannon Falls, MN 55009-1824 | 2012-01-10 |
| 1255623765 | Mankato Clinic, Ltd | Non-Pharmacy Dispensing Site | 305 Main St Ne, Mapleton, MN 56065 | 2011-05-03 |
| Find all providers with the same taxonomy | ||||
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.