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Contact Information

MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION
404 W FOUNTAIN ST STE 3
ALBERT LEA, MN56007-2437
 Phone: 507-373-2384
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION

NPI Number 1396832606
LBN Legal business name MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION
Authorized official MORRIS MILLER - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/06/2006
Last updated 04/16/2026 - About 2 months ago
Identifiers
MN License # 330838
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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