Organization
PARKVIEW CARE CENTER - ALBERT LEA MEDICAL CENTER
Active
Parent organization
ALBERT LEA MEDICAL CENTER MAYO HEALTH SYSTEM
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALBERT LEA MEDICAL CENTER MAYO HEALTH SYSTEM
Authorized official
MR. STEPHEN WALDHOFF (CAO)
(507) 373-2384
Entity
Organization
Contact information
Practice address
55 10TH ST SE, WELLS, MN 56097-1814
(507) 553-3115
Mailing address
55 10TH ST SE, WELLS, MN 56097-1814
(507) 553-3115
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
329923
MN
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
329923
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
329542700
—
MN
01
—
61845NA
BCBS
MN
Enumeration date
09/25/2006
Last updated
03/18/2009
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