NPIMap

Organization Active NPI

Mayo Clinic Health System-Southwest Minnesota Region

  • Critical Access Hospital
  • New Prague, MN
National Provider Identifier
1124035282
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION
Practice address
301 2ND Street NE
New Prague, MN 56071
Phone
(952) 758-4431
Fax
(952) 758-7876
NPI assigned
Aug 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Morris Miller
Title
Cfo
Phone
(507) 594-2646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

301 2ND Street NE
New Prague, MN 56071

Mailing address

301 2ND St NE
New Prague, MN 56071-1709
Phone (952) 758-4431

Other names 1

  • Mayo Clinic Health System-New Prague Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171011003939 MN Part A Provider - Critical Access Hospital 4688585771 Receives reassigned benefits from 695 practitioners
Practice locations: New Prague, MN

Hospital certification: CCN 241361

Legal name
MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION
Doing business as
MAYO CLINIC HEALTH SYSTEM-NEW PRAGUE
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 6, 2004
Last certification
Nov 24, 2004
Beds
25
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jan 1, 2018 (2 total)
Organization structure
CorporationNon-profit
Incorporated
Dec 27, 1968 in MN
Enrollment address
301 2ND St NE
New Prague, MN 56071-1709

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Mayo Clinic Health System New PragueCCN 241361
Overall star rating
2 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Immanuel St Joseph'S10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Meggan Luevano Individual Corporate DirectorBoard Member Mar 25, 2026
Dena Keilman Individual Corporate DirectorBoard Member Jan 1, 2025
Karthik Ghosh Individual Corporate OfficerCeo, President, Chair Jan 1, 2025
Corporate DirectorBoard Member Jan 1, 2025
Travis Paul Individual Corporate OfficerCao & Secretary Nov 1, 2021
Corporate DirectorBoard Member Nov 1, 2021
Tara Krosch Individual Corporate DirectorBoard Member Jan 1, 2025
Mackenzie Rose Miller Individual W-2 Managing EmployeeHospital Administrator Sep 1, 2022
Mansi Kanuga Individual Corporate DirectorBoard Member Jan 1, 2025
Brian Lynch Individual Corporate DirectorBoard Member Jan 1, 2025
Taylor Beahrs Individual Corporate DirectorBoard Member Jan 1, 2025
Gokhan Anil Individual Corporate DirectorBoard Member Jan 1, 2019
Mayo Clinic Organization, Rochester, MN Corporation, Non-profit, Chain home office Operational/Managerial Control Jan 1, 2018
Savannah Coleman Individual W-2 Managing EmployeeOperations Manager Mar 1, 2024
Brian Bartlett Individual Corporate DirectorBoard Member Jan 1, 2025
Syed Khan Individual Corporate DirectorBoard Member Jan 1, 2025
Albert Harris Individual Corporate DirectorBoard Member Jan 1, 2025
Morris Miller Individual Corporate OfficerTreasurer & Chief Financial Officer May 22, 2023
Corporate DirectorBoard Member Jan 1, 2025

Owners & managing parties with NPI records 14

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 14

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mayo Clinic Health System-FairmontFairmont, MN, CCN 240166 Hospital Operational/Managerial Control May 23, 2011
Mayo Clinic Health System-St JamesSaint James, MN, CCN 241333 Hospital Operational/Managerial Control Jan 1, 2008
Mayo Clinic Health System-St JamesSaint James, MN, CCN 24Z333 Hospital Operational/Managerial Control Jan 1, 2008
Mayo Clinic Health System-FairmontFairmont, MN, CCN 24U166 Hospital Operational/Managerial Control May 23, 2011

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 38

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 38

Practitioners & affiliated clinicians

Practitioners 711

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 711

Affiliated clinicians 232

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 232

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1124035282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 2ND ST NE",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560711709",
            "telephone_number": "952-758-4431",
            "fax_number": "952-758-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 2ND STREET NE",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "56071",
            "telephone_number": "952-758-4431",
            "fax_number": "952-758-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "507-594-2646"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd SteB",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mayo Clinic Health System-New Prague",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Prague, MN

Sources for this page

Verify at the official NPI Registry.