MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION
NPI 1073040838
Durable Medical Equipment & Medical Supplies in Faribault, MN

Active since May 11, 2017CLIA 24D0914043 · Waiver
300 STATE AVE, FARIBAULT, MN 55021(507) 333-3300 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2018, May 11, 2017 (2 updates tracked since 2017).

About Mayo Clinic Health System-southeast Minnesota Region NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION (NPI 1073040838), doing business as Mayo Clinic Health System-albert Lea And Austin, is a healthcare organization registered as a durable medical equipment & medical supplies in Faribault, Minnesota and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through May 4, 2027 and lists Douglas Parks, Chair Administration, as its authorized official.

NPPES Registry Identity

NPI1073040838
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION
Location Address300 STATE AVEFaribault, MN 55021-6319
Mailing Address2200 Nw 26th StOwatonna, MN 55060-5503 · (507) 333-3300
Organization SubpartNo
Authorized OfficialDouglas ParksChair Administration · (507) 266-5010
Enumeration DateMay 11, 2017
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
NPI 1073040838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
300 STATE AVE, Faribault, MN 55021

Other Names 2

Former Legal Business NameMayo Clinic Health System-albert Lea And Austin
Doing Business AsMayo Clinic Health System-faribault

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D0914043

Mayo Clinic Health System Faribault · Faribault, MN
Active · expires May 4, 2027
CLIA Number24D0914043
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 5, 2025
Certificate Expiration DateMay 4, 2027
Laboratory DirectorDr. Bhavini H. Carns
Laboratory Phone(507) 333-3370
Laboratory LocationMayo Clinic Health System Faribault300 State St, Faribault, MN 55021
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
300 STATE AVE
FARIBAULT, MN 55021
Specialist/Technologist (Athletic Trainer)
300 STATE AVE
FARIBAULT, MN 55021
Nurse Practitioner (Family)
300 STATE AVE
FARIBAULT, MN 55021
Obstetrics & Gynecology
300 STATE AVE
FARIBAULT, MN 55021
Physician Assistant
300 STATE AVE
FARIBAULT, MN 55021
Family Medicine
300 STATE AVE
FARIBAULT, MN 55021
Nurse Practitioner
300 STATE AVE
FARIBAULT, MN 55021
Nurse Practitioner
300 STATE AVE
FARIBAULT, MN 55021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mayo Clinic Health System-Southeast Minnesota Region's NPI number?

The NPI number for Mayo Clinic Health System-Southeast Minnesota Region is 1073040838. It was assigned to this organization in the NPPES registry on May 11, 2017. The provider is doing business as Mayo Clinic Health System-Faribault. The provider was formerly known as Mayo Clinic Health System-Albert Lea And Austin.

Where is Mayo Clinic Health System-Southeast Minnesota Region located?

Mayo Clinic Health System-Southeast Minnesota Region is located at 300 State Ave, Faribault, MN 55021. The listed phone number is (507) 333-3300.

What is Mayo Clinic Health System-Southeast Minnesota Region's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Mayo Clinic Health System-Southeast Minnesota Region hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0914043) is associated with this NPI, valid through May 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mayo Clinic Health System-Southeast Minnesota Region was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.