Organization
MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION
Active
Organization
MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION
Active
Other names
Mayo Clinic Health System-Albert Lea and Austin, Fountain Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MORRIS MILLER (CHIEF FINANCIAL OFFICER)
(507) 594-6449
Entity
Organization
Contact information
Practice address
408 W FOUNTAIN ST, ALBERT LEA, MN 56007-2437
(507) 377-6411
Mailing address
408 W FOUNTAIN ST, ALBERT LEA, MN 56007-2437
(507) 377-6411
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
1062242
MN
324500000X
Substance Abuse Rehabilitation Facility
1062243
MN
324500000X
Substance Abuse Rehabilitation Facility
1062244
MN
324500000X
Substance Abuse Rehabilitation Facility
1062245
MN
324500000X
Substance Abuse Rehabilitation Facility
1062246
MN
324500000X
Substance Abuse Rehabilitation Facility
1062247
MN
324500000X
Substance Abuse Rehabilitation Facility
1062248
MN
324500000X
Substance Abuse Rehabilitation Facility
1062252
MN
324500000X
Substance Abuse Rehabilitation Facility
1062254
MN
324500000X
Substance Abuse Rehabilitation Facility
1065057-2-CDT
MN
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
416545500
—
MN
Enumeration date
01/11/2012
Last updated
04/16/2026
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