MEDICARE: OLMSTED MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center		MN

General Provider Information

NPI Number	:	1013277789
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OLMSTED MEDICAL CENTER

Provider Business Mailing Address
First Line	:	201 9TH ST SE
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55904-6768
Country	:	US
Telephone Number	:	507-592-6616
Fax Number	:

Provider Business Practice Location Address
First Line	:	318 1ST AVE SW
Second Line	:	SUITE 203
City	:	ROCHESTER
State	:	MN
Zip	:	55902-3310
Country	:	US
Telephone Number	:	507-529-6616
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	KEVIN HIGGINS
Credential	:
Telephone Number	:	507-529-6619

Provider Enumeration Date	:	05/29/2012
Last Update Date	:	05/29/2012

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