NPIMap

Organization Active NPI

Mayo Clinic Health System-Southeast Minnesota Region

Doing business as Mayo Clinic Health System-Albert Lea and Austin

  • Multi-Specialty Clinic/Center
  • Albert Lea, MN
National Provider Identifier
1891701637
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
Practice address
404 W Fountain St
Albert Lea, MN 56007-2437
Phone
(507) 373-2384
NPI assigned
Aug 1, 2006
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
Mr. Morris Miller
Title
Cfo
Phone
(507) 594-6449

Specialties & licenses 1

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

Addresses

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 identifiers 7

IdentifierTypeStateIssuer
538K1ALOtherMNBCBS
CB3783OtherMCRR
136C4OtherMNVA
P375OtherMNUCARE
CD5413OtherMNMCRR
0512244OtherIAIA MA
CD7991OtherIAMCRR

Other names 1

  • Mayo Clinic Health System-Albert Lea and Austin Former legal business name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address him_mn1405423@ehrdirect.mayoclinicmsg.org
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, IA, WI, AZ, FL5 enrollments

Enrollment records 5

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
Practice locations: Owatonna, MN; Faribault, MN; Northfield, MN; New Richland, MN; Le Roy, MN; Lake City, MN; Hayfield, MN; Grand Meadow, MN…
O20040402001167 IA Part B Supplier - Clinic/Group Practice 4385556703 Receives reassigned benefits from 8 practitioners
1 other NPI on this enrollment
Practice locations: Lake Mills, IA; Northwood, IA
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
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
Practice locations: Jacksonville, FL

Other NPIs with the same Medicare PAC ID 8

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

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

Member of 1

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

Locations

406 S 10th Ave E
Lake Mills, IA 50450
Phone (641) 592-4900

701 Hewitt Blvd
Red Wing, MN 55066
Phone (507) 377-6285

301 S Broadway
Wells, MN 56097
Phone (507) 553-6341

Interoperability endpoints

  • Direct secure messaging: him_mn1405423@ehrdirect.mayoclinicmsg.org

Ownership & related parties

All facility ownership & control disclosures 2

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

Owned or controlled facilities with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 1,736

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 1,736

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1891701637",
    "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": [],
    "basic": {
        "organization_name": "MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "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": "507-594-6449",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "538K1AL",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCRR",
            "identifier": "CB3783",
            "state": null
        },
        {
            "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": "MCRR",
            "identifier": "CD5413",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IA MA",
            "identifier": "0512244",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCRR",
            "identifier": "CD7991",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him_mn1405423@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "404 W Fountain St",
            "city": "Albert Lea",
            "state": "MN",
            "country_code": "US",
            "postal_code": "560072437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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"
        },
        {
            "organization_name": "Mayo Clinic Health System-Albert Lea and Austin",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Mayo Clinic Health System-Albert Lea and Austin",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Albert Lea, MN

Sources for this page

Verify at the official NPI Registry.