Organization Active NPI

Mayo Clinic Health System-Southeast Minnesota Region

Doing business as Mayo Clinic Health System-Cannon Falls

  • Multi-Specialty Clinic/Center
  • Cannon Falls, MN
National Provider Identifier
1497281695
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION
Doing business as
Mayo Clinic Health System-Cannon Falls
Practice address
32021 County Road 24 Blvd.
Cannon Falls, MN 55009-5003
Phone
(507) 263-6000
NPI assigned
May 8, 2017
Last updated
Apr 16, 2026By the provider in NPPES
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) 263-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

32021 County Road 24 Blvd.
Cannon Falls, MN 55009-5003

Mailing address

32021 County Road 24 Blvd.
Cannon Falls, MN 55009-5003
Phone (507) 263-6000

Other names 1

  • Mayo Clinic Health System-Cannon Falls 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, WI, AZ, FL4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20031104000408 MN Part B Supplier - Clinic/Group Practice 4385556703 Receives reassigned benefits from 1,706 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Owatonna, MN; Faribault, MN; Northfield, MN; New Richland, MN; Le Roy, MN; Lake City, MN; Hayfield, MN; Grand Meadow, MN…
O20171120000204 WI Part B Supplier - Clinic/Group Practice 4385556703 Receives reassigned benefits from 65 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: La Crosse, WI; Ellsworth, WI; Eau Claire, WI
O20181001002845 AZ Part B Supplier - Clinic/Group Practice 4385556703 Receives reassigned benefits from 1 practitioner
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Phoenix, AZ; Scottsdale, AZ
O20181105001369 FL Part B Supplier - Clinic/Group Practice 4385556703 Receives reassigned benefits from 1 practitioner
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Jacksonville, FL

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Cobb Foot and Leg Surgical15 organizations share this tax ID, including this one

Other organizations with this 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.

Practitioners & affiliated clinicians

Practitioners 345

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 345

NPI Registry JSON

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

{
    "created_epoch": "1494201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1497281695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32021 COUNTY ROAD 24 BLVD.",
            "city": "CANNON FALLS",
            "state": "MN",
            "postal_code": "550095003",
            "telephone_number": "507-263-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32021 COUNTY ROAD 24 BLVD.",
            "city": "CANNON FALLS",
            "state": "MN",
            "postal_code": "550095003",
            "telephone_number": "507-263-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-08",
        "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": "507-263-6000"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "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-Cannon Falls",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mayo Clinic Health System-Cannon Falls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cannon Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.