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Organization

MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION

Active
Other names
Mayo Clinic Health System-Red Wing
Organization subpart
No

Provider details

NPI number
Authorized official
MORRIS MILLER (CHEIF FINANCIAL OFFICER)
(507) 594-6449
Entity
Organization

Contact information

Practice address
701 HEWITT BLVD, RED WING, MN 55066-2848
(651) 267-5000
Mailing address
701 HEWITT BLVD, RED WING, MN 55066-2848
(651) 267-5000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
208M00000X
Hospitalist Physician
282N00000X
General Acute Care Hospital
Primary
MN
291U00000X
Clinical Medical Laboratory
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner
367500000X
Certified Registered Nurse Anesthetist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1817HJO
BCBS
MN
01
19182
HEALTHPARTNERS
MN
01
3945090
MEDICA
MN
05
466745000
MN
01
5009713
MEDICA
MN
01
50658
HEALTHPARTNERS
MN
01
55485JO
BCBS
MN
01
59952JO
BCBS
MN
01
6600092
MEDICA
MN
01
9840090
MEDICA
MN
01
9866075
MEDICA
MN
01
990824002
MHP
MN
05
994210600
MN
Enumeration date
01/02/2006
Last updated
05/11/2026
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