Mayo Clinic Health System-Southeast Minnesota Region
Organization Active NPI Community/Retail Pharmacy · Austin, MN
NPI 1790848992 · NPPES record last updated Apr 16, 2026
Key facts
- NPI
- 1790848992
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 264085 (MN)
- Legal business name
- MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION
- Practice address
- 1000 1St Dr NW
Austin, MN 55912-2941 - Phone
- (507) 434-1422
- Fax
- (507) 422-1035
- NPI assigned
- Dec 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Morris Miller
- Title
- Chief Financial Officer
- Phone
- (507) 594-6449
Corporate family (same tax ID) 14
National Provider Directory
- Tax ID family
- Kiester Clinic
- Part of
- Kiester Clinic
Locations
404 W Fountain St
Ste 2
Albert Lea, MN 56007
Phone (507) 668-2913
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 264085 | MN | Yes |
Addresses
Primary practice location
1000 1St Dr NW
Austin, MN 55912-2941
Mailing address
1000 1St Dr NW
Austin, MN 55912-2941
Phone (507) 434-1422
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2418906 | Other | NCPDP# | |
| 387024300 | Medicaid | MN |
Other names
- Mayo Clinic Health System-Albert Lea and Austin
- Mayo Clinic Health System-Austin
Other providers in Austin, MN
- Samantha Martin
- Michelle Alexandra Martinez Garcia
- Alexis Maruska
- Dessie Dee Mason
- Mayo Clinic Health System-Southeast Minnesota Region
- Mayo Clinic Health System-Southeast Minnesota Region
- Jessica Elisa Mazariegos
- Ciara Renae McCarter
- Nancy Ellen McDermott
- Joanne Marie McGaffey
All providers in Austin, MN · Community/Retail Pharmacy in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.