Healthcare Provider Details

I. General information

NPI: 1851197859
Provider Name (Legal Business Name): OLMSTED MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2025
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 OAK AVE NORTH SUITE 110
OWATONNA MN
55060
US

IV. Provider business mailing address

PO BOX 4300
ROCHESTER MN
55903-4300
US

V. Phone/Fax

Practice location:
  • Phone: 507-529-6929
  • Fax:
Mailing address:
  • Phone: 507-529-6929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KRISTY L SUTTON
Title or Position: DIRECTOR OF REVENUE CYCLE
Credential:
Phone: 507-288-3443