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MAYO CLINIC HEALTH SYSTEM-LAKE CITY
NPI 1164463659
Clinic/Center - Multi-Specialty in Lake City, MN

Active since June 08, 2006CLIA 24D0398275 · Accreditation
500 W GRANT ST, LAKE CITY, MN 55041(651) 345-3321 Get Directions Write a Review

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

Record update history: Apr 16, 2026, Mar 23, 2021, Dec 29, 2017 (3 updates tracked since 2017).

About Mayo Clinic Health System-lake City NPPES

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

MAYO CLINIC HEALTH SYSTEM-LAKE CITY (NPI 1164463659) is a healthcare organization registered as a multi-specialty in Lake City, Minnesota and active in the NPI registry since June 2006. The organization holds an CLIA Accreditation certificate valid through January 2, 2027 and lists Morris Miller, Cfo, as its authorized official.

NPPES Registry Identity

NPI1164463659
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameMAYO CLINIC HEALTH SYSTEM-LAKE CITY
Location Address500 W GRANT STLake City, MN 55041-1143
Mailing Address500 W Grant StLake City, MN 55041-1143 · (651) 345-3321
Phone(651) 345-3321
Organization SubpartNo
Authorized OfficialMorris MillerCfo · (507) 594-6449
Enumeration DateJune 8, 2006
Last NPPES UpdateApril 16, 20263 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1164463659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
500 W GRANT ST, Lake City, MN 55041
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan, Security Health Plan.Insurance ›

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 Accreditation 24D0398275

Mayo Clinic Health System Lake City Laboratory · Lake City, MN
Active · expires Jan 2, 2027
CLIA Number24D0398275
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDr. Andrea Boni
Laboratory Phone(651) 345-1164
Laboratory LocationMayo Clinic Health System Lake City Laboratory500 West Grant St, Lake City, MN 55041
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

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

DENNIS CHARLES SPANO M.D.
Family Medicine
500 W GRANT ST
LAKE CITY, MN 55041
Wabasha County (651) 345-3321
DR. RANDY M FOSS MD
Family Medicine
500 W GRANT ST
LAKE CITY, MN 55041
Wabasha County (651) 345-3321
MR. JACOB R RICKS CRNA
Nurse Anesthetist, Certified Registered
500 W GRANT ST
LAKE CITY, MN 55041
Wabasha County (651) 345-3321
BRANDON CHARLES VOTH DPT
Physical Therapist (Orthopedic)
500 W GRANT ST
LAKE CITY, MN 55041
Wabasha County (651) 345-3321
REBEKAH RICHTER DPT
Physical Therapist
500 W GRANT ST
LAKE CITY, MN 55041
Wabasha County (651) 345-1129
KATHERINE LILLIE LOFBERG FNP-C
Nurse Practitioner
500 W GRANT ST
LAKE CITY, MN 55041
Wabasha County (651) 345-3321
LISA JOLEE WIMMER
Nurse Practitioner (Family)
500 W GRANT ST
LAKE CITY, MN 55041
Wabasha County (651) 345-3321
DEBORAH JANE ANDERSON ANP,C
Nurse Practitioner (Adult Health)
500 W GRANT ST
LAKE CITY, MN 55041
Wabasha County (651) 345-3321

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-Lake City's NPI number?

The NPI number for Mayo Clinic Health System-Lake City is 1164463659. It was assigned to this organization in the NPPES registry on June 8, 2006.

Where is Mayo Clinic Health System-Lake City located?

Mayo Clinic Health System-Lake City is located at 500 W Grant St, Lake City, MN 55041. The listed phone number is (651) 345-3321.

What is Mayo Clinic Health System-Lake City's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Mayo Clinic Health System-Lake City hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 24D0398275) is associated with this NPI, valid through January 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mayo Clinic Health System-Lake City accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Mayo Clinic Health System-Lake City as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mayo Clinic Health System-Lake City was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.