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MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION NPI 1083984876


NPI Information

NPI: 1083984876
Provider Name: MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION

Doing Business As: MAYO CLINIC HEALTH SYSTEM-CANNON FALLS

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization

CLIA Number: 24D0398077

Address:
32021 COUNTY 24 BOULEVARD
CANNON FALLS, MN
ZIP 55009
Phone: (507) 263-4221
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MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION is a non pharmacy dispensing site in Cannon Falls, MN. The provider is 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.) MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION NPI is 1083984876. The provider is registered as an organization entity type.
The provider Is Doing Business As Mayo Clinic Health System-cannon Falls.

The provider's business location address is:

32021 COUNTY 24 BOULEVARD
CANNON FALLS, MN
ZIP 55009-824
Phone: (507) 263-4221

The provider's authorized official is Douglas Parks .
The authorized official title is Chair Administration and has the following contact phone number (507) 266-5010.

The CLIA number assigned to this NPI record is 24D0398077 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/10/2012 and was last updated on 11/15/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332900000XNon-Pharmacy Dispensing SiteYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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