NPIMap

Organization Active NPI

Mayo Clinic Health System-Southeast Minnesota Region

  • General Acute Care Hospital
  • Albert Lea, MN
National Provider Identifier
1346258100
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
330838 Issued in MN
Legal business name
MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION
Practice address
404 W Fountain St
Albert Lea, MN 56007-2437
Phone
(507) 373-2384
NPI assigned
Aug 4, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Morris Miller
Title
Chief Financial Officer
Phone
(507) 594-6449

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

Owned or controlled facilities with NPI records 2

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

Other NPIs with the same Medicare PAC ID 8

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

Corporate family (same tax ID) 14

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

View all 14

Member of 1

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

Facilities with the same owner 38

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

View all 38

Practitioners 569

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

View all 569

Affiliated clinicians 823

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

View all 823

Care Compare: Hospital

Medicare Care Compare
Listed as
Mayo Clinic Health System - Albert Lea and AustinCCN 240043
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Medicare participation

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

Hospital certification: CCN 240043

Medicare enrollment files
Legal name
MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION
Doing business as
MAYO CLINIC HEALTH SYSTEM-ALBERT LEA AND AUSTIN
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 14, 2016
Beds
181 (159 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
May 29, 1981 in MN
Enrollment address
404 W Fountain St
Albert Lea, MN 56007-2437
Main/Primary Hospital Location
Hospital subgroups
Acute care

All disclosed owners & managing parties 14

Medicare enrollment files

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 OfficerChair, Ceo, President Jan 1, 2025
Corporate DirectorBoard Member Jan 1, 2025
Travis Paul Individual Corporate OfficerSecretary Jan 1, 2025
Corporate DirectorBoard Member Jan 1, 2025
W-2 Managing EmployeeAd; Jan 1, 2025
Tara Krosch Individual Corporate DirectorBoard Member Jan 1, 2025
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 May 10, 2023
Mayo Clinic Organization, Rochester, MN Corporation, Non-profit, Chain home office Operational/Managerial Control Jan 1, 1996
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 Jul 19, 2023
Corporate DirectorBoard Member Jan 1, 2025

All facility ownership & control disclosures 2

Medicare enrollment files

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

FacilityTypeRoleSince
Mayo Clinic Health System-Lake CityLake City, MN, CCN 24Z338 Hospital Operational/Managerial Control Jan 1, 2019
Mayo Clinic Health System-Lake CityLake City, MN, CCN 241338 Hospital Operational/Managerial Control Jan 1, 2019

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20040803000951 MN Part a Provider - Hospital 4385556703 1 other NPI on this enrollment
Practice locations: Austin, MN; Albert Lea, MN

National Provider Directory

National Provider Directory
Tax ID family
Kiester Clinic (15 organizations share this tax ID)

Locations

510 2nd St NW
Austin, MN 55912
Phone (507) 433-1884

530 W Cairns St
Ellsworth, WI 54011
Phone (715) 273-5061

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 330838 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

404 W Fountain St
Albert Lea, MN 56007-2437

Mailing address

1000 1St Dr NW
Austin, MN 55912-2941
Phone (507) 433-7351

Other practice location 1

1000 1st Dr NW
Austin, MN 55912-2941
Phone (507) 433-7351

Other identifiers 6

NPPES NPI Registry
IdentifierTypeStateIssuer
538K1ALOtherMNBCBS
CD7991OtherIAMCRR
CD5413OtherMNMCRR
136C4OtherMNVA
P375OtherMNUCARE
0512244OtherIAIA MA

Other names 1

NPPES NPI Registry
  • Mayo Clinic Health System-Albert Lea and Austin Doing business as

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 17, 2026.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1346258100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 1ST DR NW",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559122941",
            "telephone_number": "507-433-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 W FOUNTAIN ST",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560072437",
            "telephone_number": "507-373-2384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 1st Dr NW",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "MN",
            "postal_code": "559122941",
            "country_code": "US",
            "telephone_number": "507-433-7351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "507-594-6449"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MN",
            "license": "330838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "538K1AL",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCRR",
            "identifier": "CD7991",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCRR",
            "identifier": "CD5413",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA",
            "identifier": "136C4",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "P375",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IA MA",
            "identifier": "0512244",
            "state": "IA"
        }
    ],
    "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 Ste B",
            "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-Albert Lea and Austin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albert Lea, MN

Sources for this page

Verify at the official NPI Registry.