Mayo Clinic Health System-Lake City

LBN: Mayo Clinic Health System-Lake City
Mayo Clinic Health System-Lake City is an health care organization with primary practice located at 500 W Grant St , Lake City MN 55041-1143. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. Mayo Clinic Health System-Lake City can be contacted via phone (651) 345-3321, or through Mekala, Praveen via phone (507) 594-6449.

Contact Information

Primary practice address
500 W Grant St Lake City MN 55041-1143
Phone: (651) 345-3321
Fax: (651) 345-1151
Website:
Map and Directions
Authorized official contact:
Name: Mekala, Praveen
Phone: (507) 594-6449

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X Minnesota

Profile Details

NPI number 1538113022
LBN Legal business name Mayo Clinic Health System-Lake City
DBA Doing business as
Authorized official Mekala, Praveen
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2006
Last updated Mar 23rd, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538113022 NPPES
Minnesota MEDICAID 154347400
Minnesota Other 300802
Minnesota Other 32B87LA
Minnesota Other 5000137
Minnesota Other 01008475
Minnesota Other 55304
Minnesota Other 7B99HLA

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