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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
314000000X
Skilled Nursing Facility
Primary
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
715522100
MN
Enumeration date
06/08/2006
Last updated
04/16/2026
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