Healthcare Provider Details

I. General information

NPI: 1942277769
Provider Name (Legal Business Name): MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2006
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 NORTH STATE STREET
WASECA MN
56093
US

IV. Provider business mailing address

501 STATE ST N
WASECA MN
56093-2811
US

V. Phone/Fax

Practice location:
  • Phone: 507-835-1210
  • Fax: 507-781-8945
Mailing address:
  • Phone: 507-835-1210
  • Fax: 507-781-8945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number323805
License Number StateMN

VIII. Authorized Official

Name: MORRIS MILLER
Title or Position: CFO
Credential:
Phone: 507-594-2646