Organization
MAYO CLINIC HEALTH SYSTEM-LAKE CITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORRIS MILLER (CFO)
(507) 594-6449
Entity
Organization
Contact information
Practice address
500 W GRANT ST, LAKE CITY, MN 55041-1143
(651) 345-3321
(651) 345-1151
Mailing address
500 W GRANT ST, LAKE CITY, MN 55041-1143
(651) 345-3321
(651) 345-1151
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
MN
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01008475
PREFERRED ONE
MN
05
—
154347400
—
MN
01
—
300802
UCARE
MN
01
—
32B87LA
BCBS
MN
01
—
5000137
MEDICA
MN
01
—
55304
HEALTH PARTNERS
MN
01
—
7B99HLA
BCBS UB92
MN
Enumeration date
05/20/2006
Last updated
05/11/2026
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