Spreadsheet: 2eebe60b-cd1d-4f65-a672-532ff0fb59ae
Sheet: Sheet1

GLN | LEVEL | NAME | [NAME] 2 | PARENT NAME | PARENT GLN | SELF MANAGED | VALIDATED DATE | ADDRESS | ADDRESS2 | ADDRESS3 | CITY | STATE | ZIP | COUNTRY | PHONE | ROLE | [NAME] | CORPORATE RELATIONSHIP | REPLACED GLN | COT1 | COT2 | COT3 | COT COMMENT | LAST UPDATE DATE | STATUS
1100002356804 | 1 | Mayo Clinic |  |  |  | Yes | 2013-01-24 | 200 1ST ST SW | . |  | ROCHESTER | MN | 55905-0001 | US | (507) 284-2511 | Provider | Deliver To | Owned |  | Not for Profit | Inpatient (Acute) | Corporate Office, IDN/acute care | Corporate Office, IDN/Acute Care AB | 2014-04-30 | Active
1100004216724 | 2 | Winneshiek Medical Center |  | Mayo Clinic | 1100002356804 | Yes | 2013-01-24 | 901 MONTGOMERY ST |  |  | DECORAH | IA | 52101-2325 | US | (563) 387-3109 | Provider | [NAME] To,Ship To | Owned |  | Not for Profit | Inpatient (Acute) | Acute Care | Acute Care AA | 2008-12-09 | Active
1100005382800 | 3 | MAYO CLINIC HEALTH SYSTEM - DECORAH CLINIC PHYSICIANS |  | Winneshiek Medical Center | 1100004216724 | Yes | 2013-01-24 | 907 MONTGOMERY ST |  |  | DECORAH | IA | 52101-2325 | US | (563) 382-9671 | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-09-20 | Active
1100003495229 | 2 | Mayo Clinic Rochester |  | Mayo Clinic | 1100002356804 | Yes | 2013-01-24 | 200 1ST ST SW |  | Clinic/Medical Group | ROCHESTER | MN | 55905-0001 | US | (507) 284-2511 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2010-12-02 | Active
1100005725058 | 3 | Mayo Clinic Hospital Rochester | Saint Marys Hospital | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 1216 2ND ST SW |  | Hospital | ROCHESTER | MN | 55902-1906 | US | (507) 255-5123 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Inpatient (Acute) | Acute Care | Acute Care AA | 2013-10-14 | Active
1100002385385 | 3 | Mayo Clinic Hospital Rochester | Methodist Hospital | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 201 W CENTER ST |  | General Medical and Surgical | ROCHESTER | MN | 55902-3003 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Inpatient (Acute) | Acute Care | Acute Care AA | 2013-10-14 | Active
1100005364080 | 3 | Charter House |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 211 2ND ST NW |  |  | ROCHESTER | MN | 55901-2807 | US | (507) 266-8572 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Long Term Care | Long Term Care NG | 2011-06-17 | Active
1100002963729 | 3 | Mayo Inventory Center |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 3131 VALLEYHIGH DR NW |  |  | ROCHESTER | MN | 55901-8329 | US | (507) 284-5433 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Inpatient (Acute) | Warehouse, IDN centralized non-pharmacy | Warehouse, IDN centralized non-pharmacy AM | 2010-12-02 | Active
1100003290749 | 4 | MAYO INVENTORY CENTER | ROCD LOCATION | Mayo Inventory Center | 1100002963729 | Yes | 2013-01-24 | 3131 VALLEYHIGH DR NW | ROCD LOCATION |  | ROCHESTER | MN | 55901-8329 | US | [PHONE] | Provider | Deliver To | Owned |  | Not for Profit | Inpatient (Acute) | Warehouse, IDN centralized non-pharmacy |  | 2012-09-12 | Active
1100004337368 | 4 | MAYO INVENTORY CENTER | ROCN LOCATION | Mayo Inventory Center | 1100002963729 | Yes | 2013-01-24 | 3131 VALLEYHIGH DR NW | ROCN LOCATION |  | ROCHESTER | MN | 55901-8329 | US | [PHONE] | Provider | Deliver To | Owned |  | Not for Profit | Inpatient (Acute) | Warehouse, IDN centralized non-pharmacy |  | 2012-09-12 | Active
1100003804038 | 4 | MAYO INVENTORY CENTER |  | Mayo Inventory Center | 1100002963729 | Yes | 2013-01-24 | 3131 VALLEYHIGH DR NW | ROCG LOCATION |  | ROCHESTER | MN | 55901-8329 | US | [PHONE] | Provider | Deliver To | Owned |  | Not for Profit | Inpatient (Acute) | Warehouse, IDN centralized non-pharmacy |  | 2012-09-12 | Active
1100003432392 | 4 | MAYO INVENTORY CENTER |  | Mayo Inventory Center | 1100002963729 | Yes | 2013-01-24 | 3131 VALLEYHIGH DR NW | ROMY LOCATION |  | ROCHESTER | MN | 55901-8329 | US | [PHONE] | Provider | Deliver To | Owned |  | Not for Profit | Inpatient (Acute) | Warehouse, IDN centralized non-pharmacy |  | 2012-09-12 | Active
1100005457799 | 4 | MAYO INVENTORY CENTER |  | Mayo Inventory Center | 1100002963729 | Yes | 2013-01-24 | 3131 VALLEYHIGH DR NW | ROEE LOCATION |  | ROCHESTER | MN | 55901-8329 | US | [PHONE] | Provider | Deliver To | Owned |  | Not for Profit | Inpatient (Acute) | Warehouse, IDN centralized non-pharmacy |  | 2012-09-12 | Active
1100004016553 | 4 | MAYO INVENTORY CENTER |  | Mayo Inventory Center | 1100002963729 | Yes | 2013-01-24 | 3131 VALLEYHIGH DR NW | ROCV LOCATION |  | ROCHESTER | MN | 55901-8329 | US | [PHONE] | Provider | Deliver To | Owned |  | Not for Profit | Inpatient (Acute) | Warehouse, IDN centralized non-pharmacy |  | 2012-09-12 | Active
1100005640979 | 4 | MAYO INVENTORY CENTER |  | Mayo Inventory Center | 1100002963729 | Yes | 2013-01-24 | 3131 VALLEYHIGH DR NW | ROCB LOCATION |  | ROCHESTER | MN | 55901-8329 | US | [PHONE] | Provider | Deliver To | Owned |  | Not for Profit | Inpatient (Acute) | Warehouse, IDN centralized non-pharmacy |  | 2012-10-31 | Active
1100004613523 | 4 | MAYO INVENTORY CENTER |  | Mayo Inventory Center | 1100002963729 | Yes | 2013-01-24 | 3131 VALLEYHIGH DR NW | ROCC LOCATION |  | ROCHESTER | MN | 55901-8329 | US | [PHONE] | Provider | Deliver To | Owned |  | Not for Profit | Inpatient (Acute) | Warehouse, IDN centralized non-pharmacy |  | 2012-09-12 | Active
1100002658397 | 4 | Mayo Inventory Center |  | Mayo Inventory Center | 1100002963729 | Yes | 2013-01-24 | 3131 VALLEYHIGH DR NW | ROBAL LOCATION |  | ROCHESTER | MN | 55901-8329 | US | [PHONE] | Provider | Deliver To | Owned |  | Not for Profit | Inpatient (Acute) | Warehouse, IDN centralized non-pharmacy |  | 2011-01-18 | Active
1100002844899 | 4 | Mayo Inventory Center |  | Mayo Inventory Center | 1100002963729 | Yes | 2013-01-24 | 3131 VALLEYHIGH DR NW | ROCS LOCATION |  | ROCHESTER | MN | 55901-8329 | US | [PHONE] | Provider | Deliver To | Owned |  | Not for Profit | Inpatient (Acute) | Warehouse, IDN centralized non-pharmacy |  | 2012-09-12 | Active
1100002976422 | 4 | Mayo Inventory Center |  | Mayo Inventory Center | 1100002963729 | Yes | 2013-01-24 | 3131 VALLEYHIGH DR NW | ROCL LOCATION |  | ROCHESTER | MN | 55901-8329 | US | [PHONE] | Provider | Deliver To | Owned |  | Not for Profit | Inpatient (Acute) | Warehouse, IDN centralized non-pharmacy |  | 2011-01-18 | Active
1100002910099 | 3 | Mayo Clinic - Ozmun |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 515 SECOND STREET SW, OZMUN WEST 2 |  |  | ROCHESTER | MN | 55905-0001 | US | (507) 284-2511 | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2012-09-12 | Active
1100005940895 | 3 | Mayo Pharmacy Annex |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 21 2ND ST SW |  |  | ROCHESTER | MN | 55902-3026 | US | (507) 284-4032 | Provider | Deliver To | Owned |  | Not for Profit | Pharmacy (Inpatient and Outpatient) | Acute care on-site pharmacy | Acute care on-site pharmacy PA | 2012-09-12 | Active
1100004155979 | 3 | Mayo Clinic - Hilton |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 210 SECOND STREET SW, HILTON 11 |  |  | ROCHESTER | MN | 55905-0001 | US | [PHONE] | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2012-09-12 | Active
1100004660855 | 3 | Mayo Clinic Pharmacy - Mary Brigh |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 1216 2ND ST SW |  | Pharmacy | ROCHESTER | MN | 55902-1906 | US | (500) 255-5731 | Provider | Deliver To | Owned |  | Not for Profit | Pharmacy (Inpatient and Outpatient) | Acute care on-site pharmacy | Acute care on-site pharmacy PA | 2012-09-12 | Active
1100005249936 | 3 | Mayo Clinic Pharmacy - Eisenberg |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 201 W CENTER ST |  | Pharmacy | ROCHESTER | MN | 55902-3003 | US | [PHONE] | Provider | Deliver To | Owned |  | Not for Profit | Pharmacy (Inpatient and Outpatient) | Acute care on-site pharmacy | Acute care on-site pharmacy PA | 2012-09-12 | Active
1100002403102 | 3 | Mayo Clinic Pharmacy - Northeast |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 3041 STONEHEDGE DR NE |  |  | ROCHESTER | MN | 55906-5426 | US | (507) 538-8550 | Provider | Deliver To | Owned |  | Not for Profit | Pharmacy (Inpatient and Outpatient) | Acute care on-site pharmacy | Acute care on-site pharmacy PA | 2012-09-12 | Active
1100003792656 | 3 | Mayo Psychiatry & Psychology Treatment Center |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 1216 2ND ST SW |  | Psychiatric Hospital | ROCHESTER | MN | 55902-1906 | US | [PHONE] | Provider | Deliver To | Owned |  | Not for Profit | Inpatient (Acute) | Mental health, acute based | Mental health, acute based AG | 2012-09-12 | Active
1100005449114 | 3 | Academic Development Center - Kasson |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 406 W MAIN ST |  |  | KASSON | MN | 55944-1142 | US | (507) 284-2511 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2010-12-02 | Active
1100002390761 | 3 | Mayo Family Clinic Kasson |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 411 W MAIN ST |  |  | KASSON | MN | 55944-1141 | US | (507) 284-2511 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2010-12-02 | Active
1100004690043 | 3 | [NAME] |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 1001 14TH ST NW |  |  | ROCHESTER | MN | 55901-2590 | US | (507) 284-2511 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2010-12-02 | Active
1100002432911 | 3 | [NAME] |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 119 3RD ST SW |  |  | ROCHESTER | MN | 55902-3331 | US | (507) 284-2511 | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2012-09-12 | Active
1100005161771 | 3 | [NAME] |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 150 3RD ST SW |  |  | ROCHESTER | MN | 55902-3332 | US | (507) 284-2511 | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2012-09-12 | Active
1100003192401 | 3 | Prospect Utility Plant |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 233 3RD AVE NW |  |  | ROCHESTER | MN | 55901 | US | (507) 284-2511 | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2012-09-12 | Active
1100004939821 | 3 | Mayo Family Clinic Northeast |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 3041 STONEHEDGE DR NE | MAYO FAMILY CLINIC NORTHEAST |  | ROCHESTER | MN | 55906-5426 | US | (507) 284-2511 | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2012-09-12 | Active
1100003547140 | 3 | MRI Research Building |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 424 3RD ST SW |  |  | ROCHESTER | MN | 55902 | US | (507) 284-2511 | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2012-09-12 | Active
1100004972019 | 3 | Prarie Island Community Health Clinic |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 1158 ISLAND BLVD |  |  | WELCH | MN | 55089-9540 | US | (507) 284-2511 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-01-18 | Active
1100003413223 | 3 | Mayo Family Clinic Northwest |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 4111 HIGHWAY 52 N | MAYO FAMILY CLINIC NORTHWEST |  | ROCHESTER | MN | 55901-5919 | US | (507) 284-2511 | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2012-09-12 | Active
1100004093530 | 3 | MAYO CLINIC/GONDA RECEIVING |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 100 3RD AVE SW |  |  | ROCHESTER | MN | 55905-0001 | US | [PHONE] | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice |  | 2011-01-18 | Active
1100004030047 | 3 | MAYO CLINIC | HARWICK BUILDING DOCK | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 205 3RD AVE SW | HARWICK BUILDING DOCK |  | ROCHESTER | MN | 55905-0010 | US | [PHONE] | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice |  | 2012-09-12 | Active
1100002921712 | 3 | MAYO CLINIC/INSTITUTE HILLS FARM |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 2100 INSTITUTE RD SW |  |  | ROCHESTER | MN | 55902-1151 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice |  | 2010-02-25 | Active
1100004593917 | 3 | EVERGREEN PLACE | MAYO RADIOLOGY | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 220 3RD ST NW |  |  | PINE ISLAND | MN | 55963-9187 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice |  | 2007-01-25 | Active
1100002105068 | 3 | MAYO CLINIC | BALDWIN RECEIVING - DISTRIBUTION | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 221 4TH AVE SW | BALDWIN RECEIVING - DISTRIBUTION |  | ROCHESTER | MN | 55902-3110 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice |  | 2010-02-25 | Active
1100003630002 | 3 | MAYO CLINIC | SUPERIOR DRIVE SUPPORT CENTER | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 3050 SUPERIOR DR NW |  |  | ROCHESTER | MN | 55905-1700 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice |  | 2010-02-25 | Active
1100004698520 | 3 | JOHNSON PRINTING BUILDING |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 311 2ND AVE NW |  |  | ROCHESTER | MN | 55901-2818 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice |  | 2007-01-25 | Active
1100003967740 | 3 | MAYO CLINIC | DEVELOPMENTAL PROJECT | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 3400 22ND ST NW | SUPPORT FACILITY |  | ROCHESTER | MN | 55901-7652 | US | [PHONE] | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice |  | 2012-09-12 | Active
1100003179440 | 3 | MAYO CLINIC | MAYO SUPPORT CENTER NORTH | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 4001 41ST ST NW | MAYO SUPPORT CENTER NORTH |  | ROCHESTER | MN | 55901-8901 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice |  | 2010-02-25 | Active
1100005923546 | 3 | DAN ABRAHAM HEALTHY LIVING CEN |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 565 1ST AVE SW |  |  | ROCHESTER | MN | 55902 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice |  | 2007-01-25 | Active
1100005250499 | 3 | FOUNDATION HOUSE APARTMENT |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 721 4TH ST SW |  |  | ROCHESTER | MN | 55902-2976 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice |  | 2007-01-25 | Active
1100004469717 | 3 | MAYO CLINIC | FACILITIES WAREHOUSE RECEIVING | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 3636 TECHNOLOGY DRIVE NW |  |  | ROCHESTER | MN | 55905-0001 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, owned/managed independent multispecialty group practice |  | 2010-02-25 | Active
1100003182877 | 3 | Mayo Clinic Store |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 200 1ST ST SW |  | Pharmacy | ROCHESTER | MN | 55905-0001 | US | (507) 284-9669 | Provider | Deliver To | Owned |  | Not for Profit | Pharmacy (Inpatient and Outpatient) | Acute care on-site pharmacy | Acute care on-site pharmacy PA | 2012-09-12 | Active
1100004360342 | 3 | RMH [NAME] 10 Oncology |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 200 1ST ST SW | GONDA 10 CANCER TREATMENT UNIT |  | ROCHESTER | MN | 55905-0001 | US | (507) 266-4971 | Provider | Deliver To | Owned |  | Not for Profit | Pharmacy (Inpatient and Outpatient) | Acute care on-site pharmacy | Acute care on-site pharmacy PA | 2011-01-18 | Active
1100005237254 | 3 | Mayo Pharmacy Subway |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 200 1ST ST SW | MAYO PHARMACY |  | ROCHESTER | MN | 55905-0001 | US | (507) 284-2021 | Provider | Deliver To | Owned |  | Not for Profit | Pharmacy (Inpatient and Outpatient) | Acute care on-site pharmacy | Acute care on-site pharmacy PA | 2012-10-31 | Active
1100003797224 | 3 | Mayo Clinic Store Sleep Apnea |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 100 2ND AVE SW | GONDA BLDG NO 17 |  | ROCHESTER | MN | 55905-0006 | US | (507) 538-6812 | Provider | Deliver To | Owned |  | For Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2012-09-12 | Active
1100003848087 | 3 | Mayo Clinic Dialysis Service - Rochester |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 201 W CENTER ST RM LG-150 |  |  | ROCHESTER | MN | 55902-3003 | US | [PHONE] | Provider | Deliver To | Owned | 1100004448231 | Not for Profit | Outpatient (non-acute, ambulatory) | Dialysis center, outpatient free standing |  | 2012-09-12 | Active
1100002355616 | 3 | Minnesota Bio Business Center |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 221 1ST AVE SW |  |  | ROCHESTER | MN | 55902-4504 | US | [PHONE] | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Corporate Office, nonacute |  | 2012-09-12 | Active
1100005413634 | 3 | IBM Building 20 |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 3605 HIGHWAY 52 N |  |  | ROCHESTER | MN | 55901-7802 | US | [PHONE] | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Urgent Care Center, ambulatory |  | 2012-09-12 | Active
1100004438478 | 3 | Incinerator |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 7123 L C DR SW |  |  | ROCHESTER | MN | 55902 | US | [PHONE] | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Other, non-healthcare related |  | 2011-01-18 | Active
1100003307386 | 3 | MEDICAL SCI ISOTOPE REC |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 321 3RD AVE SW | ISOTOPE RECEIVING |  | ROCHESTER | MN | 55902-3347 | US | [PHONE] | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Urgent Care Center, ambulatory |  | 2011-01-18 | Active
1100004749345 | 3 | North Mayo Express Care |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 3454 55TH ST NW STE 430 |  |  | ROCHESTER | MN | 55901-0284 | US | [PHONE] | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Urgent Care Center, ambulatory |  | 2012-10-31 | Active
1100002936747 | 3 | Rochester South Express Care |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 500 CROSSROADS DR SW |  |  | ROCHESTER | MN | 55902-2183 | US | [PHONE] | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Urgent Care Center, ambulatory |  | 2012-09-12 | Active
1100004717047 | 3 | MML New England |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 160 DASCOMB RD |  |  | ANDOVER | MA | 01810-5885 | US | [PHONE] | Provider | Ship To,Deliver To | Owned | 1100003177286 | Not for Profit | Outpatient (non-acute, ambulatory) | Urgent Care Center, ambulatory |  | 2012-09-12 | Active
1100004376589 | 3 | 40 Ave [NAME] |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 3100 40 AVE NW |  |  | ROCHESTER | MN | 55901 | US | [PHONE] | Provider | Deliver To | Owned | 1100002738556 | Not for Profit | Outpatient (non-acute, ambulatory) | Nonacute, not further specified |  | 2011-01-18 | Active
1100003698705 | 3 | Technology Drive Center |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 3434 TECHNOLOGY DR NW |  |  | ROCHESTER | MN | 55901-8351 | US | [PHONE] | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Nonacute, not further specified |  | 2012-09-12 | Active
1100005342736 | 3 | Valley High Business Center |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 3425 40TH AVE NW |  |  | ROCHESTER | MN | 55901-2700 | US | [PHONE] | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Corporate Office, nonacute |  | 2012-09-12 | Active
1100004162724 | 3 | MAYO PHARMACY NORTHWEST |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 4111 HIGHWAY 52 N |  |  | ROCHESTER | MN | 55901-5919 | US | [PHONE] | Provider | Deliver To | Owned | 1100003695032 | Not for Profit | Pharmacy (Inpatient and Outpatient) | Acute care on-site pharmacy |  | 2012-10-31 | Active
1100005954359 | 3 | SOUTH WAREHOUSE |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 515 3RD AVE SE |  |  | ROCHESTER | MN | 55904 | US | [PHONE] | Provider | Ship To | Owned | 1100005439009 | Not for Profit | Inpatient (Acute) | Warehouse, IDN centralized non-pharmacy |  | 2009-07-17 | Active
1100005083943 | 3 | Mayo Clinic Radiation Therapy |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 1821 NORTH AVENUE |  |  | NORTHFIELD | MN | 55057 | US | [PHONE] | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Radiology services, ambulatory based |  | 2011-01-18 | Active
1100003713651 | 3 | MAYO CLINIC |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 200 1ST ST SW DEPT 10000 |  |  | ROCHESTER | MN | 55905-0001 | US | [PHONE] | Provider | [NAME] | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Corporate Office, nonacute |  | 2010-12-02 | Active
1100007046311 | 3 | 4710 Building |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-01-24 | 4710 W CIRCLE DR NW |  |  | ROCHESTER | MN | 55901-8904 | US | [PHONE] | Provider | Deliver To | Owned |  | Not for Profit | Inpatient (Acute) | Warehouse, IDN centralized non-pharmacy |  | 2012-09-12 | Active
1100006073387 | 3 | Mayo Pharmacy Baldwin |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-02-13 | 200 1ST ST SW STE 1501 |  | Pharmacy | ROCHESTER | MN | 55905-5003 | US | [PHONE] | Provider | Deliver To | Owned | 1100002667382 | Not for Profit | Pharmacy (Inpatient and Outpatient) | Acute care on-site pharmacy | ACUTE CARE ON-SITE PHARMACY PA | 2013-02-13 | Active
1100008975757 | 3 | Technology Warehouse |  | Mayo Clinic Rochester | 1100003495229 | Yes | 2013-11-22 | 3448 TECHNOLOGY DR NW |  |  | ROCHESTER | MN | 55901-8351 | US | [PHONE] | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Nonacute, not further specified |  | 2013-11-22 | Active
1100005315334 | 2 | Mayo Clinic Health System in [NAME] |  | Mayo Clinic | 1100002356804 | Yes | 2013-01-24 | 404 W FOUNTAIN ST |  | General Medical and Surgical | [NAME] | MN | 56007-2437 | US | (507) 373-2384 | Provider | [NAME] To,Ship To | Owned |  | Not for Profit | Inpatient (Acute) | Acute Care | Acute Care AA | 2011-05-20 | Active
1100002920845 | 3 | Mayo Clinic Health System in [NAME] |  | Mayo Clinic Health System in [NAME] | 1100005315334 | Yes | 2013-01-24 | 404 W FOUNTAIN ST |  | Clinic/Medical Group | [NAME] | MN | 56007-2437 | US | (507) 379-2050 | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-09-20 | Active
1100005156104 | 3 | Mayo Clinic Health System - [NAME] in Alden |  | Mayo Clinic Health System in [NAME] | 1100005315334 | Yes | 2013-01-24 | 192 WASHINGTON AVE |  |  | ALDEN | MN | 56009-1004 | US | (507) 874-3140 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2012-09-12 | Active
1100003304453 | 3 | Fountain Centers in [NAME] |  | Mayo Clinic Health System in [NAME] | 1100005315334 | Yes | 2013-01-24 | 408 W FOUNTAIN ST |  |  | [NAME] | MN | 56007-2437 | US | (507) 377-6411 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2012-09-12 | Active
1100002919962 | 3 | Mayo Clinic Health System - [NAME] in Kiester |  | Mayo Clinic Health System in [NAME] | 1100005315334 | Yes | 2013-01-24 | 120 N MAIN ST |  |  | KIESTER | MN | 56051-4401 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-09-20 | Active
1100005956216 | 3 | Health Reach Physical Medicine & Rehab Cente |  | Mayo Clinic Health System in [NAME] | 1100005315334 | Yes | 2013-01-24 | 1705 SE BROADWAY AVE |  |  | [NAME] | MN | 56007-3265 | US | (507) 377-5900 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Rehab Services, outpatient | Rehab Services, outpatient NR | 2012-09-12 | Active
1100004836199 | 3 | Mayo Clinic Health System in [NAME] |  | Mayo Clinic Health System in [NAME] | 1100005315334 | Yes | 2013-01-24 | 1206 W FRONT ST |  |  | [NAME] | MN | 56007-1903 | US | (507) 373-8214 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-05-20 | Active
1100004497253 | 3 | Mayo Clinic Health System - [NAME] in Lake Mills |  | Mayo Clinic Health System in [NAME] | 1100005315334 | Yes | 2013-01-24 | 309 S 10TH AVE E |  |  | LAKE MILLS | IA | 50450-1849 | US | (515) 592-2361 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-05-20 | Active
1100004385161 | 3 | Naeve Behavioral Health Services |  | Mayo Clinic Health System in [NAME] | 1100005315334 | Yes | 2013-01-24 | 414 PARK AVE |  |  | [NAME] | MN | 56007-4431 | US | (507) 377-6269 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Inpatient (Acute) | Mental health, acute based | Mental health, acute based AG | 2012-09-12 | Active
1100004183590 | 3 | Mayo Clinic Health System - [NAME] in New Richland |  | Mayo Clinic Health System in [NAME] | 1100005315334 | Yes | 2013-01-24 | 318 1ST ST SW |  |  | NEW RICHLAND | MN | 56072-1201 | US | (507) 465-3216 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2012-09-12 | Active
1100002133221 | 3 | [NAME] Center- Out Patient Pharmacy |  | Mayo Clinic Health System in [NAME] | 1100005315334 | Yes | 2013-01-24 | 404 W FOUNTAIN ST |  | Pharmacy | [NAME] | MN | 56007-2437 | US | (507) 377-6205 | Provider | Ship To | Owned |  | Not for Profit | Pharmacy (Inpatient and Outpatient) | Acute care on-site pharmacy | Acute care on-site pharmacy PA | 2011-09-20 | Active
1100002968687 | 3 | Naeve Medical Equipment |  | Mayo Clinic Health System in [NAME] | 1100005315334 | Yes | 2013-01-24 | 404 W FOUNTAIN ST |  | Durable Medical Equipment | [NAME] | MN | 56007-2437 | US | (507) 373-2384 | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Other, non-healthcare related | Other, non healthcare related NQ | 2011-09-20 | Active
1100003144028 | 3 | Fountain Centers in Rochester |  | Mayo Clinic Health System in [NAME] | 1100005315334 | Yes | 2013-01-24 | 4122 18TH AVE NW |  |  | ROCHESTER | MN | 55901-0474 | US | [PHONE] | Provider | Deliver To | Owned | 1100003714399 | Not for Profit | Outpatient (non-acute, ambulatory) | Nonacute, not further specified |  | 2011-05-20 | Active
1100003688676 | 3 | Mayo Clinic Health System - [NAME] in Wells |  | Mayo Clinic Health System in [NAME] | 1100005315334 | Yes | 2013-01-24 | 301 S BROADWAY |  | Clinic/Medical Group | WELLS | MN | 56097-1735 | US | [PHONE] | Provider | Ship To,Deliver To | Owned | 1100005215818 | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice |  | 2011-09-20 | Active
1100003540684 | 3 | Fountain Centers in Waseca |  | Mayo Clinic Health System in [NAME] | 1100005315334 | Yes | 2013-01-24 | 505 STATE ST S STE 6 |  |  | WASECA | MN | 56093-3032 | US | [PHONE] | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Nonacute, not further specified |  | 2011-05-23 | Active
1100004182272 | 2 | Mayo Clinic Health System in Austin |  | Mayo Clinic | 1100002356804 | Yes | 2013-01-24 | 1000 1ST DR NW |  | General Medical and Surgical | AUSTIN | MN | 55912-2941 | US | (507) 433-7351 | Provider | [NAME] To,Ship To | Owned |  | Not for Profit | Inpatient (Acute) | Acute Care | Acute Care AA | 2011-05-20 | Active
1100002469399 | 3 | MCHS Austin Clinic Pharmacy |  | Mayo Clinic Health System in Austin | 1100004182272 | Yes | 2013-01-24 | 1000 1ST DR NW |  | Pharmacy | AUSTIN | MN | 55912-2941 | US | (507) 434-1422 | Provider | Ship To | Owned |  | Not for Profit | Pharmacy (Inpatient and Outpatient) | Acute care on-site pharmacy | Acute care on-site pharmacy PA | 2013-01-11 | Active
1100004393524 | 3 | Mayo Clinic Health System in Austin Behavioral Health Services |  | Mayo Clinic Health System in Austin | 1100004182272 | Yes | 2013-01-24 | 101 14TH ST NW |  |  | AUSTIN | MN | 55912 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-09-20 | Active
1100004408679 | 3 | Mayo Clinic Health System - Austin in Blooming Prairie |  | Mayo Clinic Health System in Austin | 1100004182272 | Yes | 2013-01-24 | 405 E MAIN ST |  |  | BLOOMING PRAIRIE | MN | 55917-1440 | US | (507) 583-7225 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-05-23 | Active
1100004961099 | 3 | Mayo Clinic Health System - Austin in Grand Meadow |  | Mayo Clinic Health System in Austin | 1100004182272 | Yes | 2013-01-24 | 113 MAIN ST N |  |  | GRAND MEADOW | MN | 55936-1450 | US | (507) 754-5245 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-05-20 | Active
1100002722036 | 3 | Mayo Clinic Health System in Austin Back Door |  | Mayo Clinic Health System in Austin | 1100004182272 | Yes | 2013-01-24 | 300 8TH AVE NW |  |  | AUSTIN | MN | 55912-2983 | US | (507) 433-7351 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Inpatient (Acute) | Acute Care | Acute Care AA | 2011-05-20 | Active
1100003162411 | 3 | Mayo Clinic Health System - Austin in LeRoy |  | Mayo Clinic Health System in Austin | 1100004182272 | Yes | 2013-01-24 | 671 E MAIN ST |  |  | LE ROY | MN | 55951-6730 | US | [PHONE] | Provider | Ship To,Deliver To | Owned | 1100004134004 | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice |  | 2011-05-20 | Active
1100002711535 | 3 | Mayo Clinic Health System - Austin in Adams |  | Mayo Clinic Health System in Austin | 1100004182272 | Yes | 2013-01-24 | 908 W MAIN ST |  |  | ADAMS | MN | 55909-9776 | US | [PHONE] | Provider | Ship To,Deliver To | Owned | 1100003861307 | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice |  | 2011-05-20 | Active
1100005421233 | 2 | Mayo Clinic Health System - Red Cedar in Menomonie |  | Mayo Clinic | 1100002356804 | Yes | 2013-01-24 | 2321 STOUT RD |  | Medical Center | MENOMONIE | WI | 54751-7003 | US | (715) 235-5531 | Provider | Ship To | Owned |  | Not for Profit | Inpatient (Acute) | Acute Care | Acute Care AA | 2014-05-06 | Active
1100005272132 | 3 | Red Cedar Medical Center Pharmacy |  | Mayo Clinic Health System - Red Cedar in Menomonie | 1100005421233 | Yes | 2013-01-24 | 2321 STOUT RD |  | Pharmacy | MENOMONIE | WI | 54751-7003 | US | (715) 233-7500 | Provider | Ship To | Owned |  | Not for Profit | Pharmacy (Inpatient and Outpatient) | Acute care on-site pharmacy | Acute care on-site pharmacy PA | 2011-09-20 | Active
1100002477769 | 3 | Mayo Clinic Health System - Red Cedar in Elmwood |  | Mayo Clinic Health System - Red Cedar in Menomonie | 1100005421233 | Yes | 2013-01-24 | 236 SPRINGER AVE |  |  | ELMWOOD | WI | 54740-8806 | US | [PHONE] | Provider | Ship To | Owned | 1100003381782 | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice |  | 2012-08-14 | Active
1100004613219 | 3 | Mayo Clinic Health System - Red Cedar in Glenwood City |  | Mayo Clinic Health System - Red Cedar in Menomonie | 1100005421233 | Yes | 2013-01-24 | 219 E OAK ST |  |  | GLENWOOD CITY | WI | 54013-8516 | US | [PHONE] | Provider | Ship To | Owned | 1100005065307 | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice |  | 2012-08-14 | Active
1100004474650 | 3 | Mayo Clinic Health System - Home Health & Hospice in Menomonie |  | Mayo Clinic Health System - Red Cedar in Menomonie | 1100005421233 | Yes | 2013-01-24 | 1515 STOUT RD |  |  | MENOMONIE | WI | 54751-2987 | US | (715) 233-7258 | Provider | Ship To | Owned |  | For Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-09-20 | Active
1100007175790 | 3 | Mayo Clinc Dialysis Unit Menomonie |  | Mayo Clinic Health System - Red Cedar in Menomonie | 1100005421233 | Yes | 2013-01-24 | 407 21ST STREET SE |  |  | MENOMONIE | WI | 54751 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Dialysis center, outpatient free standing |  | 2012-01-06 | Active
1100005590151 | 2 | Mayo Clinic Health System in Lake City |  | Mayo Clinic | 1100002356804 | Yes | 2013-01-24 | 500 W GRANT ST |  | General Medical and Surgical | LAKE CITY | MN | 55041-1143 | US | (651) 345-3321 | Provider | [NAME] To,Ship To | Owned |  | Not for Profit | Inpatient (Acute) | Acute Care | Acute Care AA | 2011-05-20 | Active
1100002349158 | 3 | Mayo Clinic Health System in Lake City Nursing Home |  | Mayo Clinic Health System in Lake City | 1100005590151 | Yes | 2013-01-24 | 500 W GRANT ST |  | Nursing Home | LAKE CITY | MN | 55041-1143 | US | (651) 345-1100 | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Long Term Care | Long Term Care NG | 2011-09-20 | Active
1100005245839 | 3 | Mayo Clinic Health System - Lake City in Plainview |  | Mayo Clinic Health System in Lake City | 1100005590151 | Yes | 2013-01-24 | 275 1ST ST SW |  |  | PLAINVIEW | MN | 55964-1359 | US | [PHONE] | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2012-11-01 | Active
1100002494223 | 3 | Mayo Clinic Health System - Lake City in Alma |  | Mayo Clinic Health System in Lake City | 1100005590151 | Yes | 2013-01-24 | 204 S MAIN ST |  |  | ALMA | WI | 54610-7722 | US | [PHONE] | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2012-11-01 | Active
1100005264908 | 3 | Mayo Clinic Health System - Lake City in Wabasha |  | Mayo Clinic Health System in Lake City | 1100005590151 | Yes | 2013-01-24 | 1202 GRANT BLVD W |  |  | WABASHA | MN | 55981-1042 | US | [PHONE] | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2012-11-01 | Active
1100004568236 | 3 | Mayo Clinic Health System in Lake City Clinic |  | Mayo Clinic Health System in Lake City | 1100005590151 | Yes | 2013-01-24 | 500 W GRANT ST |  | . | LAKE CITY | MN | 55041-1143 | US | (651) 345-1100 | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-09-20 | Active
1100003262722 | 3 | MAYO DIALYSIS UNIT WABASHA | ST ELIZABETHS HOSPITAL | Mayo Clinic Health System in Lake City | 1100005590151 | Yes | 2013-01-24 | 1200 GRANT BLVD W | DIALYSIS SERVICES |  | WABASHA | MN | 55981-1042 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice |  | 2012-11-01 | Active
1100004960696 | 2 | Mayo Clinic Health System - Franciscan Healthcare in La Crosse Holding |  | Mayo Clinic | 1100002356804 | Yes | 2013-01-24 | 700 WEST AVE S |  | Holding Company | LA CROSSE | WI | 54601-4783 | US | (608) 785-0940 | Provider | [NAME] To,Ship To | Owned |  | Not for Profit | Inpatient (Acute) | Corporate Office, IDN/acute care | Corporate Office, IDN/Acute Care AB | 2011-05-20 | Active
1100005766815 | 3 | Franciscan Skemp Health St. Francis Pharmacy |  | Mayo Clinic Health System - Franciscan Healthcare in La Crosse Holding | 1100004960696 | Yes | 2013-01-24 | 700 WEST AVE S |  | Pharmacy | LA CROSSE | WI | 54601-4783 | US | (608) 791-7145 | Provider | Deliver To | Owned |  | Not for Profit | Pharmacy (Inpatient and Outpatient) | Acute care on-site pharmacy | Acute care on-site pharmacy PA | 2012-09-12 | Active
1100003239601 | 3 | Mayo Clinic Health System - Franciscan Healthcare in Waukon |  | Mayo Clinic Health System - Franciscan Healthcare in La Crosse Holding | 1100004960696 | Yes | 2013-01-24 | 105 E MAIN ST |  | Clinic/Medical Group | WAUKON | IA | 52172-1735 | US | (319) 568-3449 | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-09-20 | Active
1100003033674 | 3 | Mayo Clinic Health System - Franciscan Healthcare in Prairie du Chien |  | Mayo Clinic Health System - Franciscan Healthcare in La Crosse Holding | 1100004960696 | Yes | 2013-01-24 | 800 E BLACKHAWK AVE |  |  | PRAIRIE DU CHIEN | WI | 53821-1698 | US | (608) 326-8424 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-05-20 | Active
1100003656606 | 3 | Mayo Clinic Health System - Franciscan Healthcare in La Crescent |  | Mayo Clinic Health System - Franciscan Healthcare in La Crosse Holding | 1100004960696 | Yes | 2013-01-24 | 524 N ELM ST |  |  | LA CRESCENT | MN | 55947-1027 | US | [PHONE] | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2012-09-12 | Active
1100005774940 | 3 | Mayo Clinic Health System - Occupational Health Clinic in La Crosse |  | Mayo Clinic Health System - Franciscan Healthcare in La Crosse Holding | 1100004960696 | Yes | 2013-01-24 | 630 10TH ST S |  |  | LA CROSSE | WI | 54601-4736 | US | (608) 791-9769 | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2012-09-12 | Active
1100003869075 | 3 | Mayo Clinic Health System - Franciscan Healthcare in La Crosse Clinic |  | Mayo Clinic Health System - Franciscan Healthcare in La Crosse Holding | 1100004960696 | Yes | 2013-01-24 | 800 WEST AVE S |  |  | LA CROSSE | WI | 54601-8806 | US | (608) 782-9760 | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2012-09-12 | Active
1100002799632 | 3 | Mayo Clinic Health System - Franciscan Healthcare in Caledonia |  | Mayo Clinic Health System - Franciscan Healthcare in La Crosse Holding | 1100004960696 | Yes | 2013-01-24 | 701 N SPRAGUE ST |  | Clinic/Medical Group | CALEDONIA | MN | 55921-1066 | US | (507) 724-3353 | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-09-20 | Active
1100002070175 | 3 | Mayo Clinic Health System - Franciscan Healthcare in Sparta Clinic |  | Mayo Clinic Health System - Franciscan Healthcare in La Crosse Holding | 1100004960696 | Yes | 2013-01-24 | 310 W MAIN ST |  | Clinic | SPARTA | WI | 54656-2170 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-09-20 | Active
1100005926530 | 3 | Mayo Clinic Health System - Franciscan Healthcare in Tomah |  | Mayo Clinic Health System - Franciscan Healthcare in La Crosse Holding | 1100004960696 | Yes | 2013-01-24 | 325 BUTTS AVE |  | Clinic | TOMAH | WI | 54660-1412 | US | (608) 372-5999 | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-09-20 | Active
1100003174018 | 3 | Home Health Services - La Crosse |  | Mayo Clinic Health System - Franciscan Healthcare in La Crosse Holding | 1100004960696 | Yes | 2013-01-24 | 212 11TH ST S |  | Home Health Service | LA CROSSE | WI | 54601-4116 | US | [PHONE] | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Home Health provider, nonpharmacy | Home Health provider, non-pharmacy NH | 2012-09-12 | Active
1100004092670 | 3 | Home Health Services - Arcadia |  | Mayo Clinic Health System - Franciscan Healthcare in La Crosse Holding | 1100004960696 | Yes | 2013-01-24 | 464 S SAINT JOSEPH AVE |  | Home Health Service | ARCADIA | WI | 54612-1401 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Home Health provider, nonpharmacy | Home Health provider, non-pharmacy NH | 2011-09-20 | Active
1100005312494 | 3 | Home Health Services - Tomah |  | Mayo Clinic Health System - Franciscan Healthcare in La Crosse Holding | 1100004960696 | Yes | 2013-01-24 | 325 BUTTS AVE |  | Home Health Service | TOMAH | WI | 54660-1412 | US | [PHONE] | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Home Health provider, nonpharmacy | Home Health provider, non-pharmacy NH | 2012-10-31 | Active
1100002466244 | 3 | Behavioral Health Services - Arcadia |  | Mayo Clinic Health System - Franciscan Healthcare in La Crosse Holding | 1100004960696 | Yes | 2013-01-24 | 464 S SAINT JOSEPH AVE |  | Clinic | ARCADIA | WI | 54612-1401 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-09-20 | Active
1100005961425 | 3 | Mayo Clinic Health System - Franciscan Healthcare in Sparta |  | Mayo Clinic Health System - Franciscan Healthcare in La Crosse Holding | 1100004960696 | Yes | 2013-01-24 | 310 W MAIN ST |  | Hospital | SPARTA | WI | 54656-2170 | US | (608) 786-0324 | Provider | Deliver To | Owned |  | Not for Profit | Inpatient (Acute) | Acute Care | Acute Care AA | 2012-09-12 | Active
1100002738693 | 3 | Mayo Clinic Health System - Franciscan Healthcare in La Crosse |  | Mayo Clinic Health System - Franciscan Healthcare in La Crosse Holding | 1100004960696 | Yes | 2013-01-24 | 700 WEST AVE S |  | Medical Center | LA CROSSE | WI | 54601-4783 | US | (608) 782-9760 | Provider | Ship To | Owned |  | Not for Profit | Inpatient (Acute) | Acute Care | Physician, independent multi-specialty group practice NT | 2011-09-20 | Active
1100005671904 | 4 | Mayo Clinic Health System - Franciscan Healthcare in La Crosse | LA01 LOCATION | Mayo Clinic Health System - Franciscan Healthcare in La Crosse | 1100002738693 | Yes | 2013-01-24 | LA01 LOCATION | 700 WEST AVE S |  | LA CROSSE | WI | 54601 | US | [PHONE] | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice |  | 2011-05-20 | Active
1100005903302 | 5 | Mayo Clinic Health System - Franciscan Healthcare in La Crosse | LA02 [NAME] | Mayo Clinic Health System - Franciscan Healthcare in La Crosse | 1100005671904 | Yes | 2013-01-24 | LA02 [NAME] | 700 WEST AVE S |  | LA CROSSE | WI | 54601 | US | [PHONE] | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, owned/managed independent multispecialty group practice |  | 2011-05-20 | Active
1100003746260 | 5 | Mayo Clinic Health System - Franciscan Healthcare in La Crosse | [NAME] | Mayo Clinic Health System - Franciscan Healthcare in La Crosse | 1100005671904 | Yes | 2013-01-24 | [NAME] | 700 WEST AVE S |  | LA CROSSE | WI | 54601 | US | [PHONE] | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, owned/managed independent multispecialty group practice |  | 2011-05-20 | Active
1100002014803 | 5 | Mayo Clinic Health System - Franciscan Healthcare in La Crosse | [NAME] | Mayo Clinic Health System - Franciscan Healthcare in La Crosse | 1100005671904 | Yes | 2013-01-24 | 700 WEST AVE S | [NAME] |  | LA CROSSE | WI | 54601-4783 | US | [PHONE] | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, owned/managed independent multispecialty group practice |  | 2012-09-12 | Active
1100002707293 | 3 | Mayo Clinic Health System - Franciscan Healthcare in Sparta Nursing Home |  | Mayo Clinic Health System - Franciscan Healthcare in La Crosse Holding | 1100004960696 | Yes | 2013-01-24 | 310 W MAIN ST |  | nursing home | SPARTA | WI | 54656-2170 | US | [PHONE] | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Long Term Care | Long Term Care NG | 2012-09-12 | Active
1100005592360 | 3 | Behavioral Health Services - La Crosse |  | Mayo Clinic Health System - Franciscan Healthcare in La Crosse Holding | 1100004960696 | Yes | 2013-01-24 | 212 11TH ST S |  | Behavioral Health | LA CROSSE | WI | 54601-4116 | US | [PHONE] | Provider | Deliver To | Owned |  | Not for Profit | Inpatient (Acute) | Mental health, acute based | Mental health, acute based AG | 2012-09-12 | Active
1100003555930 | 3 | Behavioral Health Services - Sparta |  | Mayo Clinic Health System - Franciscan Healthcare in La Crosse Holding | 1100004960696 | Yes | 2013-01-24 | 310 W MAIN ST |  | Behavioral Health | SPARTA | WI | 54656-2170 | US | [PHONE] | Provider | Deliver To | Owned |  | Not for Profit | Inpatient (Acute) | Mental health, acute based | Mental health, acute based AG | 2012-09-12 | Active
1100004396075 | 3 | Franciscan Skemp Health Onalaska Clinic Pharmacy |  | Mayo Clinic Health System - Franciscan Healthcare in La Crosse Holding | 1100004960696 | Yes | 2013-01-24 | 191 THEATRE RD |  | Pharmacy | ONALASKA | WI | 54650-8679 | US | (608) 392-5009 | Provider | Deliver To | Owned |  | Not for Profit | Pharmacy (Inpatient and Outpatient) | Acute care on-site pharmacy | Acute care on-site pharmacy PA | 2012-09-12 | Active
1100003256301 | 3 | Center for Advanced Medicine and Surgery |  | Mayo Clinic Health System - Franciscan Healthcare in La Crosse Holding | 1100004960696 | Yes | 2013-01-24 | 700 WEST AVE S | CENTER FOR ADVANCED MEDICINE AND SURGERY |  | LA CROSSE | WI | 54601-4783 | US | (608) 785-0940 | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-01-18 | Active
1100003729959 | 3 | FRANCISCAN SKEMP HEALTHCARE | HOME HEATH INVENTORY | Mayo Clinic Health System - Franciscan Healthcare in La Crosse Holding | 1100004960696 | Yes | 2013-01-24 | 620 11TH ST S | HOME HEATH INVENTORY |  | LA CROSSE | WI | 54601-4710 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice |  | 2010-09-01 | Active
1100005283688 | 3 | Mayo Clinic Health System - Franciscan Healthcare in Onalaska |  | Mayo Clinic Health System - Franciscan Healthcare in La Crosse Holding | 1100004960696 | Yes | 2013-01-24 | 191 THEATRE RD |  | Clinic | ONALASKA | WI | 54650-8679 | US | [PHONE] | Provider | Ship To | Owned | 1100003699610 | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice |  | 2011-09-20 | Active
1100005839649 | 3 | Mayo Clinic Health System - Franciscan Healthcare in Holmen |  | Mayo Clinic Health System - Franciscan Healthcare in La Crosse Holding | 1100004960696 | Yes | 2013-01-24 | 1303 MAIN ST S |  |  | HOLMEN | WI | 54636-8927 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Pharmacy (Inpatient and Outpatient) | Acute care on-site pharmacy |  | 2011-09-20 | Active
1100003075520 | 3 | HEALTH TRADITION HEALTH PLAN |  | Mayo Clinic Health System - Franciscan Healthcare in La Crosse Holding | 1100004960696 | Yes | 2013-01-24 | 1808 E MAIN ST |  |  | ONALASKA | WI | 54650-8756 | US | [PHONE] | Provider | Ship To,Deliver To | Owned |  | For Profit | Outpatient (non-acute, ambulatory) | Other, non-healthcare related |  | 2010-09-01 | Active
1100003427404 | 3 | Mayo Clinic Health System - Franciscan Healthcare in Arcadia |  | Mayo Clinic Health System - Franciscan Healthcare in La Crosse Holding | 1100004960696 | Yes | 2013-01-24 | 464 S SAINT JOSEPH AVE | ARCADIA CLINIC |  | ARCADIA | WI | 54612-1401 | US | (608) 785-0940 | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-05-20 | Active
1100002192631 | 2 | Mayo Clinic Health System in Mankato |  | Mayo Clinic | 1100002356804 | Yes | 2013-01-24 | 1025 MARSH ST |  |  | MANKATO | MN | 56001-4752 | US | (507) 625-4031 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Inpatient (Acute) | Acute Care | Acute Care AA | 2011-05-20 | Active
1100003535925 | 3 | Mayo Clinic Health System in Le Sueur |  | Mayo Clinic Health System in Mankato | 1100002192631 | Yes | 2013-01-24 | 625 S 4TH ST |  |  | LE SUEUR | MN | 56058-2203 | US | (507) 665-6299 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-05-20 | Active
1100003272868 | 3 | Mayo Clinic Health System in Mankato Clinic |  | Mayo Clinic Health System in Mankato | 1100002192631 | Yes | 2013-01-24 | 1015 MARSH ST |  |  | MANKATO | MN | 56001-4752 | US | (507) 389-4700 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-05-20 | Active
1100002653927 | 3 | Mayo Clinic Health System in Mankato Eastridge |  | Mayo Clinic Health System in Mankato | 1100002192631 | Yes | 2013-01-24 | 101 [NAME] |  |  | MANKATO | MN | 56001-6460 | US | (507) 385-6500 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-05-20 | Active
1100005059481 | 3 | Mayo Clinic Health System New Prague |  | Mayo Clinic Health System in Mankato | 1100002192631 | Yes | 2013-01-24 | 301 2ND ST NE |  |  | NEW PRAGUE | MN | 56071-1709 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Inpatient (Acute) | Acute Care |  | 2011-07-14 | Active
1100002492472 | 4 | Mayo Clinic Health System Belle Plaine |  | Mayo Clinic Health System New Prague | 1100005059481 | Yes | 2013-01-24 | 700 W PRAIRIE ST |  |  | BELLE PLAINE | MN | 56011-1000 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, owned/managed independent multispecialty group practice |  | 2011-07-14 | Active
1100005987685 | 4 | Mayo Clinic Health System Montgomery |  | Mayo Clinic Health System New Prague | 1100005059481 | Yes | 2013-01-24 | 501 4TH ST NW |  | Montgomery Clinic | MONTGOMERY | MN | 56069-1003 | US | (952) 758-4431 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Inpatient (Acute) | Acute Care |  | 2011-10-25 | Active
1100003738845 | 3 | Mayo Clinic Health System in Mankato Northridge |  | Mayo Clinic Health System in Mankato | 1100002192631 | Yes | 2013-01-24 | 1695 LOR RAY DR |  |  | NORTH MANKATO | MN | 56003-2804 | US | [PHONE] | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice |  | 2011-05-20 | Active
1100004985743 | 3 | Mayo Clinic Health System in Mankato Business Service Center |  | Mayo Clinic Health System in Mankato | 1100002192631 | Yes | 2013-01-24 | 1315 STADIUM RD |  |  | MANKATO | MN | 56001-5355 | US | [PHONE] | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Corporate Office, nonacute |  | 2011-05-20 | Active
1100004833716 | 3 | Mayo Clinic Health System in St. Peter |  | Mayo Clinic Health System in Mankato | 1100002192631 | Yes | 2013-01-24 | 1900 SUNRISE DR STE 200 |  |  | [NAME] | MN | 56082-5385 | US | [PHONE] | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Urgent Care Center, ambulatory |  | 2011-05-20 | Active
1100004516510 | 3 | Mayo Clinic Health System in Lake Crystal |  | Mayo Clinic Health System in Mankato | 1100002192631 | Yes | 2013-01-24 | 200 E PRINCE ST |  |  | LAKE CRYSTAL | MN | 56055 | US | [PHONE] | Provider | Ship To,Deliver To | Owned | 1100002922269 | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice |  | 2011-10-25 | Active
1100005705548 | 2 | Mayo Clinic Jacksonville |  | Mayo Clinic | 1100002356804 | Yes | 2013-01-24 | 4500 SAN PABLO RD S |  |  | JACKSONVILLE | FL | 32224-1865 | US | (904) 593-2000 | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-09-20 | Active
1100004218476 | 3 | Beaches Primary Care Center |  | Mayo Clinic Jacksonville | 1100005705548 | Yes | 2013-01-24 | 742 MARSH LANDING PKWY |  |  | JACKSONVILLE BEACH | FL | 32250-5850 | US | [PHONE] | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-01-18 | Active
1100005979307 | 3 | St. Augustine Clinic |  | Mayo Clinic Jacksonville | 1100005705548 | Yes | 2013-01-24 | 110 SOUTHWOOD LAKE DR |  |  | [NAME] | FL | 32086-7286 | US | [PHONE] | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2012-09-12 | Active
1100002682088 | 3 | Mayo Clinic Jacksonville IV (Sterile Products) |  | Mayo Clinic Jacksonville | 1100005705548 | Yes | 2013-01-24 | 4500 SAN PABLO RD S |  | IV | JACKSONVILLE | FL | 32224-1865 | US | (904) 953-2021 | Provider | Deliver To | Owned |  | Not for Profit | Pharmacy (Inpatient and Outpatient) | Acute care on-site pharmacy | Acute care on-site pharmacy PA | 2012-10-31 | Active
1100003283451 | 3 | Mayo Pharmacy Comm/Spec Jax Main |  | Mayo Clinic Jacksonville | 1100005705548 | Yes | 2013-01-24 | 4500 SAN PABLO RD S | MAYO PHARMACY (MAIN OUTPATIENT PHARMACY) |  | JACKSONVILLE | FL | 32224-1865 | US | (904) 953-2021 | Provider | Deliver To | Owned |  | Not for Profit | Pharmacy (Inpatient and Outpatient) | Acute care on-site pharmacy | Acute care on-site pharmacy PA | 2012-09-12 | Active
1100003546969 | 3 | JAX Outpatient Dialysis Center |  | Mayo Clinic Jacksonville | 1100005705548 | Yes | 2013-01-24 | 4203 BELFORT RD STE 103 |  |  | JACKSONVILLE | FL | 32216-1411 | US | [PHONE] | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Dialysis center, outpatient free standing |  | 2012-09-12 | Active
1100008493145 | 3 | [NAME] (MCF) |  | Mayo Clinic Jacksonville | 1100005705548 | Yes | 2013-06-04 | 14255 BEACH BLVD |  |  | JACKSONVILLE | FL | 32250-1576 | US | [PHONE] | Provider | Ship To | Managed |  | Not for Profit | Inpatient (Acute) | Warehouse, IDN centralized non-pharmacy |  | 2013-06-04 | Active
1100008383576 | 3 | Mayo Clinic Primary Care Gate Parkway |  | Mayo Clinic Jacksonville | 1100005705548 | Yes | 2013-11-26 | 7826 OZARK DR |  |  | JACKSONVILLE | FL | 32256 | US | [PHONE] | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Nonacute, not further specified |  | 2013-11-26 | Active
1100008018058 | 3 | Mayo Clinic Florida |  | Mayo Clinic Jacksonville | 1100005705548 | Yes | 2014-07-08 | 4500 SAN PABLO RD S | MAYO HOSPITAL BUILDING |  | JACKSONVILLE | FL | 32224-1865 | US | (904) 953-2021 | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Nonacute, not further specified |  | 2014-07-08 | Active
1100008710136 | 3 | Mayo Clinic Florida |  | Mayo Clinic Jacksonville | 1100005705548 | Yes | 2014-07-16 | 4500 SAN PABLO RD S | DAVIS DOCK |  | JACKSONVILLE | FL | 32224-1865 | US | (904) 953-2021 | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Nonacute, not further specified |  | 2014-07-16 | Active
1100002815196 | 2 | Mayo Clinic Arizona - Phoenix Campus |  | Mayo Clinic | 1100002356804 | Yes | 2013-01-24 | 5777 E MAYO BLVD |  | Clinic | PHOENIX | AZ | 85054-4502 | US | (480) 301-3613 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Inpatient (Acute) | Acute Care | Acute Care AA | 2010-12-02 | Active
1100003065798 | 2 | Gold Cross Ambulance Service (Minnesota) |  | Mayo Clinic | 1100002356804 | Yes | 2013-01-24 | 501 6TH AVE NW |  | Holding Company | ROCHESTER | MN | 55901-2673 | US | (507) 281-1226 | Provider | Deliver To | Owned |  | Not for Profit | Inpatient (Acute) | Corporate Office, IDN/acute care | Corporate Office, IDN/Acute Care AB | 2012-09-12 | Active
1100002348953 | 3 | Gold Cross Ambulance Service (Duluth) |  | Gold Cross Ambulance Service (Minnesota) | 1100003065798 | Yes | 2013-01-24 | 4505 W MICHIGAN ST |  |  | DULUTH | MN | 55807-2706 | US | (800) 933-6296 | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Ambulance and Emergency medicine | Ambulance & Emergency medicine NE | 2012-08-14 | Active
1100002747831 | 3 | GCA - Rochester North |  | Gold Cross Ambulance Service (Minnesota) | 1100003065798 | Yes | 2013-01-24 | 501 6TH AVE NW |  | Ambulance Service/EMT | ROCHESTER | MN | 55901-2673 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Ambulance and Emergency medicine | Ambulance & Emergency medicine NE | 2011-09-21 | Active
1100003499470 | 3 | GCA - Austin |  | Gold Cross Ambulance Service (Minnesota) | 1100003065798 | Yes | 2013-01-24 | 1010 W OAKLAND AVE |  |  | AUSTIN | MN | 55912-2216 | US | (507) 238-2123 | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Ambulance and Emergency medicine | Ambulance & Emergency medicine NE | 2011-09-20 | Active
1100002380373 | 3 | GCA - Litchfield |  | Gold Cross Ambulance Service (Minnesota) | 1100003065798 | Yes | 2013-01-24 | 911 E RIPLEY ST |  |  | LITCHFIELD | MN | 55355-2609 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Ambulance and Emergency medicine | Ambulance & Emergency medicine NE | 2011-09-21 | Active
1100004414984 | 3 | GCA - Little Falls |  | Gold Cross Ambulance Service (Minnesota) | 1100003065798 | Yes | 2013-01-24 | 111 5TH ST SE |  |  | [NAME] | MN | 56345-3176 | US | (507) 238-2123 | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Ambulance and Emergency medicine | Ambulance & Emergency medicine NE | 2011-09-20 | Active
1100002368098 | 3 | GCA - Owatonna |  | Gold Cross Ambulance Service (Minnesota) | 1100003065798 | Yes | 2013-01-24 | 1005 S CEDAR AVE |  |  | OWATONNA | MN | 55060-3708 | US | (507) 451-6403 | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Ambulance and Emergency medicine | Ambulance & Emergency medicine NE | 2011-09-20 | Active
1100005580053 | 3 | GCA - St. Cloud |  | Gold Cross Ambulance Service (Minnesota) | 1100003065798 | Yes | 2013-01-24 | 2800 7TH ST N |  |  | [NAME] | MN | 56303-3104 | US | (320) 251-2302 | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Ambulance and Emergency medicine | Ambulance & Emergency medicine NE | 2012-08-14 | Active
1100003853517 | 3 | Gold Cross - Rochester East |  | Gold Cross Ambulance Service (Minnesota) | 1100003065798 | Yes | 2013-01-24 | 1650 4TH ST SE | GCA - ROCHESTER EAST |  | ROCHESTER | MN | 55904-4717 | US | (507) 284-2511 | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2012-09-12 | Active
1100004484154 | 3 | Gold Cross - Rochester Northwest |  | Gold Cross Ambulance Service (Minnesota) | 1100003065798 | Yes | 2013-01-24 | 4001 41ST ST NW |  |  | ROCHESTER | MN | 55901-8901 | US | (507) 284-2511 | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-09-20 | Active
1100005730359 | 3 | Mayo One Helicopter Rochester |  | Gold Cross Ambulance Service (Minnesota) | 1100003065798 | Yes | 2013-01-24 | 1216 2ND ST SW | MAYO ONE ROCHESTER |  | ROCHESTER | MN | 55902-1906 | US | (507) 255-2808 | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Ambulance and Emergency medicine | Ambulance & Emergency medicine NE | 2012-09-12 | Active
1100004849854 | 3 | Mayo One Helicopter Eau Claire |  | Gold Cross Ambulance Service (Minnesota) | 1100003065798 | Yes | 2013-01-24 | 1616 HANGAR RD |  |  | [NAME] | WI | 54703-0977 | US | (715) 828-3293 | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Ambulance and Emergency medicine | Ambulance & Emergency medicine NE | 2011-09-20 | Active
1100002507329 | 3 | Gold Cross Codeteam/Plumm |  | Gold Cross Ambulance Service (Minnesota) | 1100003065798 | Yes | 2013-01-24 | 221 4TH AVE SW |  |  | ROCHESTER | MN | 55905-0014 | US | (507) 281-1226 | Provider | Ship To | Owned |  | For Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-09-20 | Active
1100002631482 | 3 | GCA - Rochester South |  | Gold Cross Ambulance Service (Minnesota) | 1100003065798 | Yes | 2013-01-24 | 7126 L C DR SW |  |  | ROCHESTER | MN | 55902 | US | [PHONE] | Provider | Deliver To | Owned | 1100004204745 | Not for Profit | Outpatient (non-acute, ambulatory) | Ambulance and Emergency medicine |  | 2008-12-22 | Active
1100003142741 | 3 | GCA - Mankato |  | Gold Cross Ambulance Service (Minnesota) | 1100003065798 | Yes | 2013-01-24 | 1755 BASSETT DR |  |  | MANKATO | MN | 56001-6202 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Ambulance and Emergency medicine |  | 2011-09-20 | Active
1100007022384 | 3 | Mayo One Helicopter Mankato |  | Gold Cross Ambulance Service (Minnesota) | 1100003065798 | Yes | 2013-01-24 | 3150 N AIRPORT RD |  |  | MANKATO | MN | 56001-7500 | US | [PHONE] | Provider | Ship To | Owned | 1100003356858 | Not for Profit | Outpatient (non-acute, ambulatory) | Ambulance and Emergency medicine |  | 2012-01-04 | Active
1100004333803 | 3 | GCA - [NAME] |  | Gold Cross Ambulance Service (Minnesota) | 1100003065798 | Yes | 2013-02-18 | 404 W FOUNTAIN ST |  |  | [NAME] | MN | 56007-2437 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Ambulance and Emergency medicine |  | 2013-02-19 | Active
1100008336145 | 3 | GCA - Fairmont |  | Gold Cross Ambulance Service (Minnesota) | 1100003065798 | Yes | 2013-12-03 | 800 MEDICAL CENTER DR |  |  | FAIRMONT | MN | 56031-4575 | US | [PHONE] | Provider | Ship To | Owned | 1100003461927 | Not for Profit | Outpatient (non-acute, ambulatory) | Ambulance and Emergency medicine |  | 2013-12-03 | Active
1100005614543 | 2 | Mayo Clinic Health System in Waseca |  | Mayo Clinic | 1100002356804 | Yes | 2013-01-24 | 501 STATE ST N |  |  | WASECA | MN | 56093-2811 | US | (507) 835-1210 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Inpatient (Acute) | Acute Care | Acute Care AA | 2012-09-12 | Active
1100005032361 | 3 | Mayo Clinic Health System - Waseca in Waterville |  | Mayo Clinic Health System in Waseca | 1100005614543 | Yes | 2013-01-24 | 212 LAKE ST E |  |  | [NAME] | MN | 56096-1450 | US | (507) 362-4221 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2012-09-12 | Active
1100004931474 | 3 | Mayo Clinic Health System - Waseca in Janesville |  | Mayo Clinic Health System in Waseca | 1100005614543 | Yes | 2013-01-24 | 312 N MAIN ST |  |  | JANESVILLE | MN | 56048-9785 | US | [PHONE] | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2012-09-12 | Active
1100005947726 | 2 | Mayo Clinic Health System in Springfield |  | Mayo Clinic | 1100002356804 | Yes | 2013-01-24 | 625 N JACKSON AVE |  |  | SPRINGFIELD | MN | 56087-1714 | US | (507) 723-6201 | Provider | Ship To,Deliver To | Owned |  | City/County | Inpatient (Acute) | Acute Care | Acute Care AA | 2011-05-20 | Active
1100002249380 | 3 | Mayo Clinic Health System - Springfield in Lamberton |  | Mayo Clinic Health System in Springfield | 1100005947726 | Yes | 2013-01-24 | 310 S MAIN ST |  |  | LAMBERTON | MN | 56152-1167 | US | (507) 752-7375 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-05-20 | Active
1100002179663 | 2 | Mayo Clinic Arizona - Scottsdale Campus |  | Mayo Clinic | 1100002356804 | Yes | 2013-01-24 | 13400 E SHEA BLVD |  |  | SCOTTSDALE | AZ | 85259-5452 | US | (480) 342-2000 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Inpatient (Acute) | Acute Care | Acute Care AA | 2010-12-02 | Active
1100003019791 | 3 | Mayo Primary Care Center - Thunderbird |  | Mayo Clinic Arizona - Scottsdale Campus | 1100002179663 | Yes | 2013-01-24 | 13737 N 92ND ST |  |  | SCOTTSDALE | AZ | 85260-7434 | US | [PHONE] | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2012-09-12 | Active
1100005190955 | 3 | Mayo Clinic Family Medicine - Fountain Hills |  | Mayo Clinic Arizona - Scottsdale Campus | 1100002179663 | Yes | 2013-01-24 | 16848 E PALISADES BLVD |  |  | FOUNTAIN HILLS | AZ | 85268-3845 | US | [PHONE] | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2010-12-02 | Active
1100005536920 | 3 | Mayo Clinic Family Medicine - Arrowhead |  | Mayo Clinic Arizona - Scottsdale Campus | 1100002179663 | Yes | 2013-01-24 | 20199 N 75TH AVE |  |  | GLENDALE | AZ | 85308-8807 | US | (623) 561-5252 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2010-12-02 | Active
1100004695758 | 3 | Mayo Clinic AZ Hospital Outpatient Pharmacy |  | Mayo Clinic Arizona - Scottsdale Campus | 1100002179663 | Yes | 2013-01-24 | 5777 E MAYO BLVD |  | Pharmacy | PHOENIX | AZ | 85054-4502 | US | (480) 301-8195 | Provider | Ship To | Owned |  | Not for Profit | Pharmacy (Inpatient and Outpatient) | Acute care on-site pharmacy | Acute care on-site pharmacy PA | 2011-09-20 | Active
1100003754630 | 3 | Women's Health Internal Medicine |  | Mayo Clinic Arizona - Scottsdale Campus | 1100002179663 | Yes | 2013-01-24 | 13737 N 92ND ST | MAYO CENTER FOR WOMEN'S HEALTH |  | SCOTTSDALE | AZ | 85260-7434 | US | [PHONE] | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2012-09-12 | Active
1100004824875 | 3 | Mayo Clinic Specialty Building |  | Mayo Clinic Arizona - Scottsdale Campus | 1100002179663 | Yes | 2013-01-24 | 5777 E MAYO BLVD | MAYO CLINIC SPECIALTY BUILDING |  | PHOENIX | AZ | 85054-4502 | US | (480) 342-2000 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2010-12-02 | Active
1100004986368 | 3 | Arizona Transplant House at Brusally Ranch |  | Mayo Clinic Arizona - Scottsdale Campus | 1100002179663 | Yes | 2013-01-24 | 11600 N 84TH ST |  |  | SCOTTSDALE | AZ | 85260-5665 | US | (480) 342-2000 | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2012-10-31 | Active
1100003761430 | 3 | Mayo Clinic AZ Pharmacy IV |  | Mayo Clinic Arizona - Scottsdale Campus | 1100002179663 | Yes | 2013-01-24 | 13400 E SHEA BLVD |  |  | SCOTTSDALE | AZ | 85259-5452 | US | (480) 301-7650 | Provider | Ship To | Owned |  | Not for Profit | Pharmacy (Inpatient and Outpatient) | Acute care on-site pharmacy | Acute care on-site pharmacy PA | 2012-08-16 | Active
1100004311658 | 3 | Mayo Clinic AZ Pharmacy Main |  | Mayo Clinic Arizona - Scottsdale Campus | 1100002179663 | Yes | 2013-01-24 | 13400 E SHEA BLVD | PHARMACY |  | SCOTTSDALE | AZ | 85259-5452 | US | (480) 301-8195 | Provider | Deliver To | Owned |  | Not for Profit | Pharmacy (Inpatient and Outpatient) | Acute care on-site pharmacy | Acute care on-site pharmacy PA | 2012-09-12 | Active
1100002704421 | 3 | SC JOHNSON RESEARCH BUILDING |  | Mayo Clinic Arizona - Scottsdale Campus | 1100002179663 | Yes | 2013-01-24 | 13400 E SHEA BLVD | ATTN: RESEARCH |  | SCOTTSDALE | AZ | 85259-5452 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Inpatient (Acute) | Acute Care |  | 2008-09-22 | Active
1100008293660 | 3 | Mayo Clinic Primary Care - San Tan |  | Mayo Clinic Arizona - Scottsdale Campus | 1100002179663 | Yes | 2014-04-14 | 1850 E NORTHROP BLVD STE 160 |  |  | [NAME] | AZ | 85286-1720 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice |  | 2014-07-21 | Active
1100004554390 | 2 | Mayo Clinic Health System in Owatonna Southview |  | Mayo Clinic | 1100002356804 | Yes | 2013-01-24 | 134 SOUTHVIEW ST |  |  | OWATONNA | MN | 55060-3241 | US | (507) 455-4446 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-05-20 | Active
1100004463814 | 3 | Mayo Clinic Health System in Owatonna |  | Mayo Clinic Health System in Owatonna Southview | 1100004554390 | Yes | 2013-01-24 | 2200 NW 26TH ST |  |  | OWATONNA | MN | 55060-5503 | US | (507) 451-1120 | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2014-07-21 | Active
1100005974234 | 2 | Mayo Clinic Health System in Eau Claire |  | Mayo Clinic | 1100002356804 | Yes | 2013-01-24 | 1221 WHIPPLE ST |  | Hospital | [NAME] | WI | 54703-5270 | US | (715) 838-3311 | Provider | Ship To | Owned |  | Not for Profit | Inpatient (Acute) | Acute Care | Acute Care AA | 2011-09-20 | Active
1100003511790 | 3 | Mayo Clinic Health System in Eau Claire - Clairemont Campus |  | Mayo Clinic Health System in Eau Claire | 1100005974234 | Yes | 2013-01-24 | 733 W CLAIREMONT AVE |  |  | [NAME] | WI | 54701-6101 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-09-20 | Active
1100002339951 | 3 | Mayo Clinic Health System in Eau Claire Clinic |  | Mayo Clinic Health System in Eau Claire | 1100005974234 | Yes | 2013-01-24 | 1221 WHIPPLE ST |  | Clinic | [NAME] | WI | 54703-5270 | US | (715) 838-5350 | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2012-09-11 | Active
1100005062979 | 3 | Mayo Clinic Health System in Eau Claire - Luther Campus |  | Mayo Clinic Health System in Eau Claire | 1100005974234 | Yes | 2013-01-24 | 1400 BELLINGER ST |  | Clinic | [NAME] | WI | 54703-5222 | US | (715) 838-5222 | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-09-20 | Active
1100003880261 | 3 | Mayo Clinic Health System in Eau Claire Eye Care Center Menomonie |  | Mayo Clinic Health System in Eau Claire | 1100005974234 | Yes | 2013-01-24 | 2409 STOUT RD |  |  | MENOMONIE | WI | 54751-2757 | US | (715) 838-3311 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2012-09-12 | Active
1100002404932 | 3 | MAYO DIALYSIS SERV [NAME] |  | Mayo Clinic Health System in Eau Claire | 1100005974234 | Yes | 2013-01-24 | 3845 LONDON RD | DIALYSIS SERVICES |  | [NAME] | WI | 54701-7815 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice |  | 2008-12-30 | Active
1100003443251 | 3 | Mayo Clinic Health System - Pharmacy & Home Medical [NAME] |  | Mayo Clinic Health System in Eau Claire | 1100005974234 | Yes | 2013-01-24 | 1400 BELLINGER ST |  | Pharmacy | [NAME] | WI | 54703-5222 | US | (715) 838-6000 | Provider | Ship To | Owned |  | Not for Profit | Pharmacy (Inpatient and Outpatient) | Acute care on-site pharmacy | Acute care on-site pharmacy PA | 2011-09-20 | Active
1100002631338 | 3 | Mayo Clinic Health System - Pharmacy & Home Medical South Point |  | Mayo Clinic Health System in Eau Claire | 1100005974234 | Yes | 2013-01-24 | 2839 MALL DR STE 4 |  |  | [NAME] | WI | 54701-5175 | US | (715) 838-1458 | Provider | Ship To | Owned |  | Not for Profit | Pharmacy (Inpatient and Outpatient) | Acute care on-site pharmacy | Acute care on-site pharmacy PA | 2011-09-20 | Active
1100004824226 | 3 | Mayo Clinic Health System - Pharmacy & Home Medical Long Term Care |  | Mayo Clinic Health System in Eau Claire | 1100005974234 | Yes | 2013-01-24 | 1707 WESTGATE RD |  | Pharmacy | [NAME] | WI | 54703-4964 | US | [PHONE] | Provider | Deliver To | Owned | 1100003226878 | Not for Profit | Pharmacy (Inpatient and Outpatient) | Acute care on-site pharmacy |  | 2012-09-11 | Active
1100003921094 | 3 | Mayo Clinic Health System - Pharmacy & Home Medical Westgate |  | Mayo Clinic Health System in Eau Claire | 1100005974234 | Yes | 2013-01-24 | 1707 WESTGATE RD |  | Warehouse | [NAME] | WI | 54703-4964 | US | [PHONE] | Provider | Ship To | Owned | 1100004701381 | Not for Profit | Inpatient (Acute) | Warehouse, IDN centralized non-pharmacy |  | 2011-09-20 | Active
1100003742392 | 3 | Mayo Clinic Health System - Pharmacy & Home Medical [NAME] |  | Mayo Clinic Health System in Eau Claire | 1100005974234 | Yes | 2013-01-24 | 733 W CLAIREMONT AVE | PHARMACY |  | [NAME] | WI | 54701-6101 | US | (715) 838-5000 | Provider | Deliver To | Owned |  | For Profit | Pharmacy (Inpatient and Outpatient) | Acute care on-site pharmacy | Acute care on-site pharmacy PA | 2012-09-11 | Active
1100005034273 | 3 | Mayo Clinic Health System - Pharmacy & Home Medical Downtown |  | Mayo Clinic Health System in Eau Claire | 1100005974234 | Yes | 2013-01-24 | 325 E MADISON ST |  |  | [NAME] | WI | 54703-3550 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Pharmacy (Inpatient and Outpatient) | Acute care on-site pharmacy |  | 2011-09-20 | Active
1100004500250 | 2 | Mayo Medical Laboratories |  | Mayo Clinic | 1100002356804 | Yes | 2013-01-24 | 200 1ST ST SW |  | . | ROCHESTER | MN | 55905-0001 | US | (507) 284-4032 | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Laboratory services, ambulatory | Laboratory services, ambulatory NL | 2012-09-12 | Active
1100002265915 | 2 | Mayo Holding Company |  | Mayo Clinic | 1100002356804 | Yes | 2013-01-24 | 100 2ND AVE SW |  |  | ROCHESTER | MN | 55905-0006 | US | (507) 284-2511 | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2012-09-12 | Active
1100002496968 | 3 | MHS Services, Inc. |  | Mayo Holding Company | 1100002265915 | Yes | 2013-01-24 | 201 1ST AVE SW | MAYO HEALTH SYSTEM - MINNESOTA/IOWA |  | ROCHESTER | MN | 55902-3130 | US | [PHONE] | Provider | Deliver To | Owned |  | Not for Profit | Inpatient (Acute) | Corporate Office, IDN/acute care | Corporate Office,IDN | 2012-09-12 | Active
1100002255909 | 2 | Mayo Clinic Health System - Northland in Barron |  | Mayo Clinic | 1100002356804 | Yes | 2013-01-24 | 1222 E WOODLAND AVE |  |  | BARRON | WI | 54812-1765 | US | (715) 537-3186 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Inpatient (Acute) | Acute Care | Acute Care AA | 2011-05-20 | Active
1100002416270 | 3 | Mayo Clinic Health System - Northland in Chetek |  | Mayo Clinic Health System - Northland in Barron | 1100002255909 | Yes | 2013-01-24 | 220 DOUGLAS ST |  |  | CHETEK | WI | 54728-8953 | US | (715) 924-4811 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-05-20 | Active
1100005410404 | 3 | Mayo Clinic Health System - Northland in Prairie Farm |  | Mayo Clinic Health System - Northland in Barron | 1100002255909 | Yes | 2013-01-24 | 224 RIVER AVE S |  |  | PRAIRIE FARM | WI | 54762-9786 | US | (715) 455-1666 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-08-31 | Active
1100004872555 | 3 | Mayo Clinic Health System - Northland in Barron Clinic |  | Mayo Clinic Health System - Northland in Barron | 1100002255909 | Yes | 2013-01-24 | 1222 E WOODLAND AVE | NURSING HOME - BARRON |  | BARRON | WI | 54812-1765 | US | (715) 838-3311 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Long Term Care | Long Term Care NG | 2011-05-20 | Active
1100004467898 | 3 | MAYO DIALYSIS UNIT BARRON | [NAME] | Mayo Clinic Health System - Northland in Barron | 1100002255909 | Yes | 2013-01-24 | 1220 E WOODLAND AVE | DIALYSIS SERVICES |  | BARRON | WI | 54812-1765 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice |  | 2008-12-30 | Active
1100003109065 | 3 | Mayo Clinic Health System - Northland in Rice Lake |  | Mayo Clinic Health System - Northland in Barron | 1100002255909 | Yes | 2013-01-24 | 331 S MAIN ST STE H |  |  | [NAME] | WI | 54868-2253 | US | [PHONE] | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Inpatient (Acute) | Acute Care |  | 2011-05-20 | Active
1100004885548 | 3 | Mayo Clinic Health System - Home Health & Hospice in Barron |  | Mayo Clinic Health System - Northland in Barron | 1100002255909 | Yes | 2013-01-24 | 1443 E DIVISION AVE |  | Clinic/Medical Group | BARRON | WI | 54812-1230 | US | (715) 537-3186 | Provider | Ship To,Deliver To | Owned |  | For Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-05-20 | Active
1100002171469 | 3 | Mayo Clinic Health System - Northland in Cameron |  | Mayo Clinic Health System - Northland in Barron | 1100002255909 | Yes | 2013-01-24 | 2049 15TH AVE |  |  | CAMERON | WI | 54822-4400 | US | [PHONE] | Provider | Ship To,Deliver To | Owned | 1100003911910 | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, owned/managed independent multispecialty group practice |  | 2011-05-20 | Active
1100005824836 | 2 | Mayo Clinic Health System - Oakridge in Osseo |  | Mayo Clinic | 1100002356804 | Yes | 2013-01-24 | 13025 8TH ST |  | Hospital | OSSEO | WI | 54758-7634 | US | (715) 597-3121 | Provider | Ship To | Owned |  | City/County | Inpatient (Acute) | Acute Care | Acute Care AA | 2011-09-20 | Active
1100003079337 | 3 | Mayo Clinic Health System - Pharmacy & Home Medical in Osseo |  | Mayo Clinic Health System - Oakridge in Osseo | 1100005824836 | Yes | 2013-01-24 | 13025 8TH ST |  | Pharmacy | OSSEO | WI | 54758-7634 | US | (715) 597-3166 | Provider | Ship To | Owned |  | Not for Profit | Pharmacy (Inpatient and Outpatient) | Acute care on-site pharmacy | Acute care on-site pharmacy PA | 2011-09-20 | Active
1100004043290 | 3 | Mayo Clinic Health System - Oakridge in Mondovi |  | Mayo Clinic Health System - Oakridge in Osseo | 1100005824836 | Yes | 2013-01-24 | 700 BUFFALO ST |  |  | MONDOVI | WI | 54755-1371 | US | (715) 926-4858 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-05-20 | Active
1100002326883 | 3 | Mayo Clinic Health System - Home Health & Hospice in Osseo |  | Mayo Clinic Health System - Oakridge in Osseo | 1100005824836 | Yes | 2013-01-24 | 13031 8TH ST |  | Nursing Home | OSSEO | WI | 54758-7634 | US | (715) 838-3311 | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Long Term Care | Long Term Care NG | 2012-09-12 | Active
1100004661593 | 3 | Mayo Clinic Health System - Oakridge in Osseo Clinic |  | Mayo Clinic Health System - Oakridge in Osseo | 1100005824836 | Yes | 2013-01-24 | 13031 8TH ST |  | Clinic | OSSEO | WI | 54758-7634 | US | [PHONE] | Provider | Deliver To | Owned | 1100005258358 | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice |  | 2012-09-12 | Active
1100003881053 | 2 | Mayo Clinic Health System - Chippewa Valley in Bloomer |  | Mayo Clinic | 1100002356804 | Yes | 2013-01-24 | 1501 THOMPSON ST |  |  | BLOOMER | WI | 54724-1257 | US | (715) 568-2000 | Provider | Ship To | Owned |  | Not for Profit | Inpatient (Acute) | Acute Care | Acute Care AA | 2011-09-20 | Active
1100005553743 | 3 | Mayo Clinic Health System - Chippewa Valley in [NAME] |  | Mayo Clinic Health System - Chippewa Valley in Bloomer | 1100003881053 | Yes | 2013-01-24 | 611 1ST AVE |  |  | [NAME] | WI | 54729-1242 | US | (715) 720-4400 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-05-20 | Active
1100002109523 | 3 | Mayo Clinic Health System - Maplewood Nursing Home |  | Mayo Clinic Health System - Chippewa Valley in Bloomer | 1100003881053 | Yes | 2013-01-24 | 1501 THOMPSON ST | NURSING HOME - BLOOMER |  | BLOOMER | WI | 54724-1257 | US | (715) 838-3311 | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Long Term Care | Long Term Care NG | 2011-05-20 | Active
1100002778040 | 3 | Mayo Clinic Health System - Chippewa Valley in Bloomer Clinic |  | Mayo Clinic Health System - Chippewa Valley in Bloomer | 1100003881053 | Yes | 2013-01-24 | 1501 THOMPSON ST |  | CLINIC | BLOOMER | WI | 54724-1257 | US | [PHONE] | Provider | Deliver To | Owned | 1100005396425 | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice |  | 2012-09-11 | Active
1100004553096 | 3 | Mayo Clinic Health System - Chippewa Valley in Colfax |  | Mayo Clinic Health System - Chippewa Valley in Bloomer | 1100003881053 | Yes | 2013-01-24 | 1011 UNIVERSITY AVE |  |  | COLFAX | WI | 54730-9331 | US | [PHONE] | Provider | Ship To,Deliver To | Owned | 1100002133016 | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice |  | 2011-05-20 | Active
1100004885173 | 3 | [NAME] (back door) |  | Mayo Clinic Health System - Chippewa Valley in Bloomer | 1100003881053 | Yes | 2013-01-24 | 1507 VINE ST |  |  | BLOOMER | WI | 54724-1248 | US | (715) 568-2000 | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2012-08-14 | Active
1100004461810 | 2 | Mayo Found.for Medical Education & Research |  | Mayo Clinic | 1100002356804 | Yes | 2013-01-24 | 200 1ST ST SW | MAYO FOUND.FOR MEDICAL EDUCATION |  | ROCHESTER | MN | 55905-0001 | US | [PHONE] | Provider | Deliver To | Owned |  | Not for Profit | Inpatient (Acute) | Corporate Office, IDN/acute care | Corporate Office,IDN | 2012-09-12 | Active
1100005538726 | 3 | Mayo Clinic Health Solutions |  | Mayo Found.for Medical Education & Research | 1100004461810 | Yes | 2013-01-24 | 200 1ST ST SW | MAYO CLINIC HEALTH SOLUTIONS |  | ROCHESTER | MN | 55905-0001 | US | (507) 284-2511 | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2012-09-12 | Active
1100003737220 | 2 | Gold Cross Ambulance, Inc. -  Wisconsin |  | Mayo Clinic | 1100002356804 | Yes | 2013-01-24 | 501 6TH AVE NW | GOLD CROSS AMBULANCE, INC. WISCONSIN |  | ROCHESTER | MN | 55901-2673 | US | [PHONE] | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Ambulance and Emergency medicine | Ambulance and Emergency medicine | 2012-09-12 | Active
1100005820791 | 3 | Gold Cross Ambulance Service [NAME] |  | Gold Cross Ambulance, Inc. -  Wisconsin | 1100003737220 | Yes | 2013-01-24 | 1616 HANGAR RD |  | Ambulance | [NAME] | WI | 54703-0977 | US | [PHONE] | Provider | Deliver To | Owned | 1100002895549 | Not for Profit | Outpatient (non-acute, ambulatory) | Ambulance and Emergency medicine | Ambulance & Emergency Medicine NE | 2012-09-12 | Active
1100005856226 | 2 | Mayo Clinic Health System in Cannon Falls |  | Mayo Clinic | 1100002356804 | Yes | 2013-01-24 | 1116 MILL ST W | CANNON FALLS MEDICAL CENTER |  | [NAME] | MN | 55009-1824 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice |  | 2011-05-20 | Active
1100008073149 | 3 | Mayo Clinic Health System in Cannon Falls |  | Mayo Clinic Health System in Cannon Falls | 1100005856226 | Yes | 2014-02-06 | 31993 COUNTY 24 BLVD |  |  | [NAME] | MN | 55009 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice |  | 2014-02-06 | Active
1100005882492 | 2 | Mayo Clinic Jacksonville Hospital Corp |  | Mayo Clinic | 1100002356804 | Yes | 2013-01-24 | 4500 SAN PABLO RD S | HOSPITAL |  | JACKSONVILLE | FL | 32224-1865 | US | (904) 953-1661 | Provider | Deliver To | Owned |  | Not for Profit | Inpatient (Acute) | Acute Care | Acute Care AA | 2011-01-18 | Active
1100002181796 | 2 | Clinical Trial Services |  | Mayo Clinic | 1100002356804 | Yes | 2013-01-24 | 3050 SUPERIOR DR NW | CLINICAL TRIAL SERVICES |  | ROCHESTER | MN | 55905-1700 | US | (800) 826-5561 | Provider | Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2012-09-12 | Active
1100004699671 | 2 | Mayo Clinic Health System in Faribault |  | Mayo Clinic | 1100002356804 | Yes | 2013-01-24 | 924 1ST ST NE |  |  | FARIBAULT | MN | 55021-5441 | US | [PHONE] | Provider | [NAME] To,Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, owned/managed independent multispecialty group practice |  | 2011-05-20 | Active
1100003273131 | 3 | Mayo Clinic Health System in Faribault State Ave |  | Mayo Clinic Health System in Faribault | 1100004699671 | Yes | 2013-01-24 | 300 STATE AVE |  |  | FARIBAULT | MN | 55021-6319 | US | (507) 333-3300 | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-09-20 | Active
1100005091580 | 3 | Mayo Clinic Health System in Kenyon |  | Mayo Clinic Health System in Faribault | 1100004699671 | Yes | 2013-01-24 | 225 HUSETH ST |  |  | KENYON | MN | 55946-1005 | US | (507) 284-2511 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-05-20 | Active
1100004129864 | 3 | Mayo Clinic Health System in Faribault Physicians Women's Health Center - Northfield |  | Mayo Clinic Health System in Faribault | 1100004699671 | Yes | 2013-01-24 | 2000 NORTH AVE |  |  | NORTHFIELD | MN | 55057-1498 | US | (507) 333-3300 | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-09-20 | Active
1100003605819 | 3 | Mayo Clinic Health System in Faribault Physicians FamilyHealth Medical Clinic - Northfield |  | Mayo Clinic Health System in Faribault | 1100004699671 | Yes | 2013-01-24 | 2000 NORTH AVE | MHS |  | NORTHFIELD | MN | 55057-1498 | US | [PHONE] | Provider | Ship To | Owned | 1100002165383 | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice |  | 2011-09-20 | Active
1100005317734 | 3 | Mayo Clinic Health System in Faribault Physicians FamilyHealth Medical Clinic - Lakeville |  | Mayo Clinic Health System in Faribault | 1100004699671 | Yes | 2013-01-24 | 9974 214TH ST W |  |  | LAKEVILLE | MN | 55044-1913 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice |  | 2011-09-20 | Active
1100002789206 | 3 | Mayo Clinic Health System in Faribault Physicians FamilyHealth Medical Clinic - Farmington |  | Mayo Clinic Health System in Faribault | 1100004699671 | Yes | 2013-01-24 | 4645 KNUTSEN DR |  |  | FARMINGTON | MN | 55024-8455 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, owned/managed independent multispecialty group practice |  | 2012-08-14 | Active
1100004639363 | 3 | Mayo Clinic Health System in Faribault Physicians FamilyHealth Medical Clinic - Lonsdale |  | Mayo Clinic Health System in Faribault | 1100004699671 | Yes | 2013-01-24 | 103 15TH AVE SE |  |  | LONSDALE | MN | 55046-5001 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, owned/managed independent multispecialty group practice |  | 2011-09-20 | Active
1100003630125 | 2 | Mayo Clinic Health System in Fairmont |  | Mayo Clinic | 1100002356804 | Yes | 2013-01-24 | 800 MEDICAL CENTER DR |  | General Medical and Surgical | FAIRMONT | MN | 56031-4575 | US | [PHONE] | Provider | Ship To | Owned | 1100002709921 | Not for Profit | Inpatient (Acute) | Acute Care |  | 2011-09-20 | Active
1100003644382 | 3 | Mayo Clinic Health System - Fairmont in Sherburn |  | Mayo Clinic Health System in Fairmont | 1100003630125 | Yes | 2013-01-24 | 32 N MAIN ST |  |  | SHERBURN | MN | 56171-1052 | US | (507) 764-4610 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2012-09-12 | Active
1100004342997 | 3 | Mayo Clinic Health System - Fairmont in Truman |  | Mayo Clinic Health System in Fairmont | 1100003630125 | Yes | 2013-01-24 | 401 N 4TH AVE E |  |  | TRUMAN | MN | 56088-1108 | US | (507) 776-2811 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2012-09-12 | Active
1100005897526 | 3 | Mayo Clinic Health System in Fairmont Eye Clinic |  | Mayo Clinic Health System in Fairmont | 1100003630125 | Yes | 2013-01-24 | 800 MEDICAL CENTER DR |  | Clinic/Medical Group | FAIRMONT | MN | 56031-4575 | US | (507) 238-8100 | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice | Physician, independent multi-specialty group practice NT | 2011-09-20 | Active
1100002536312 | 3 | Mayo Clinic Health System [NAME] |  | Mayo Clinic Health System in Fairmont | 1100003630125 | Yes | 2013-01-24 | 800 MEDICAL CENTER DR | MHS, LUTZ WING NURS |  | FAIRMONT | MN | 56031-4575 | US | (507) 238-8100 | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Long Term Care | Long Term Care NG | 2012-09-12 | Active
1100004636782 | 3 | MAYO DIALYSIS UNIT FAIRMONT | FAIRMONT COMMUNITY HOSPITAL | Mayo Clinic Health System in Fairmont | 1100003630125 | Yes | 2013-01-24 | 835 [NAME] ST | DIALYSIS SERVICES |  | FAIRMONT | MN | 56031-4523 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice |  | 2008-12-23 | Active
1100004478696 | 3 | Mayo Clinic Health System - Fairmont in Armstrong |  | Mayo Clinic Health System in Fairmont | 1100003630125 | Yes | 2013-01-24 | 412 6TH ST |  |  | ARMSTRONG | IA | 50514-7432 | US | [PHONE] | Provider | Ship To,Deliver To | Owned | 1100003708602 | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice |  | 2011-05-20 | Active
1100002111885 | 3 | Mayo Clinic Health System in Blue Earth |  | Mayo Clinic Health System in Fairmont | 1100003630125 | Yes | 2013-01-24 | 411 S GROVE ST STE 3 |  |  | BLUE EARTH | MN | 56013-2643 | US | [PHONE] | Provider | Ship To,Deliver To | Owned | 1100003982941 | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice |  | 2012-09-12 | Active
1100003134616 | 3 | Mayo Clinic Health System - Fairmont in Swea City |  | Mayo Clinic Health System in Fairmont | 1100003630125 | Yes | 2013-01-24 | 207 3RD ST S |  |  | SWEA CITY | IA | 50590-1089 | US | [PHONE] | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, owned/managed independent multispecialty group practice |  | 2012-09-12 | Active
1100004164544 | 2 | Mayo Collaborative Services Inc |  | Mayo Clinic | 1100002356804 | Yes | 2013-01-24 | 200 1ST AVE NW |  |  | ROCHESTER | MN | 55901-3004 | US | [PHONE] | Provider | Deliver To | Owned | 1100002244781 | Not for Profit | Inpatient (Acute) | Warehouse, IDN centralized non-pharmacy |  | 2012-09-12 | Active
1100005064874 | 2 | Mayo Clinic Health System in St. James |  | Mayo Clinic | 1100002356804 | Yes | 2013-01-24 | 1101 MOULTON AND PARSONS DR |  |  | [NAME] | MN | 56081-5550 | US | [PHONE] | Provider | Ship To,Deliver To | Owned | 1100002552725 | Not for Profit | Inpatient (Acute) | Acute Care |  | 2012-09-12 | Active
1100003236051 | 3 | Mayo Clinic Health System - St. James in Trimont |  | Mayo Clinic Health System in St. James | 1100005064874 | Yes | 2013-01-24 | 437 MAIN ST W |  |  | TRIMONT | MN | 56176 | US | [PHONE] | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice |  | 2012-09-12 | Active
1100005913165 | 2 | Mayo Clinic Health System in Waycross |  | Mayo Clinic | 1100002356804 | Yes | 2013-01-24 | 1900 TEBEAU ST |  |  | WAYCROSS | GA | 31501-6357 | US | [PHONE] | Provider | [NAME] To,Ship To | Owned | 1100003859342 | Not for Profit | Inpatient (Acute) | Corporate Office, IDN/acute care |  | 2012-08-06 | Active
1100003075001 | 3 | Mayo Clinic Health System in Waycross Regional Rehabilitation Institute |  | Mayo Clinic Health System in Waycross | 1100005913165 | Yes | 2013-01-24 | 2500 SATILLA PKWY |  |  | WAYCROSS | GA | 31503-8852 | US | (912) 284-1230 | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Rehab Services, outpatient | Rehab Services, outpatient NR | 2012-08-14 | Active
1100002644895 | 3 | Mayo Clinic Health System in Waycross Life Care |  | Mayo Clinic Health System in Waycross | 1100005913165 | Yes | 2013-01-24 | 2007 TEBEAU ST |  | Home Infusion Center | WAYCROSS | GA | 31501-6358 | US | (912) 285-9153 | Provider | Ship To | Owned |  | Not for Profit | Pharmacy (Inpatient and Outpatient) | Home Infusion Pharmacy | Home Infusion Pharmacy PH | 2012-08-14 | Active
1100004132888 | 3 | Mayo Clinic Health System in Waycross Convenient Care |  | Mayo Clinic Health System in Waycross | 1100005913165 | Yes | 2013-01-24 | 1921 ALICE ST STE 3 |  |  | WAYCROSS | GA | 31501-6200 | US | (912) 283-2458 | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Surgery center, freestanding ambulatory | Surgery center, freestanding ambulatory NS | 2012-08-14 | Active
1100003949180 | 3 | Pierce County Nursing Home |  | Mayo Clinic Health System in Waycross | 1100005913165 | Yes | 2013-01-24 | 221 W CARTER AVE |  |  | BLACKSHEAR | GA | 31516-1203 | US | (912) 449-6631 | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Long Term Care | Long Term Care NG | 2012-08-14 | Active
1100004130105 | 3 | Mayo Clinic Health System in Waycross Care Center |  | Mayo Clinic Health System in Waycross | 1100005913165 | Yes | 2013-01-24 | 1600 RIVERSIDE AVE |  |  | WAYCROSS | GA | 31501-7028 | US | (912) 283-1182 | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Long Term Care | Long Term Care NG | 2012-08-14 | Active
1100007333565 | 3 | Mayo Clinic Health System in Waycross Regional Medical Center |  | Mayo Clinic Health System in Waycross | 1100005913165 | Yes | 2013-01-24 | 1900 TEBEAU ST |  |  | WAYCROSS | GA | 31501-6357 | US | [PHONE] | Provider | Ship To | Owned | 1100003464522 | Not for Profit | Inpatient (Acute) | Acute Care |  | 2012-08-14 | Active
1100008481203 | 3 | Mayo Clinic Health System in Waycross Out Patient Services |  | Mayo Clinic Health System in Waycross | 1100005913165 | Yes | 2013-11-25 | 1900 TEBEAU ST |  |  | WAYCROSS | GA | 31501-6357 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Pharmacy (Inpatient and Outpatient) | Home Infusion Pharmacy |  | 2013-11-25 | Active
1100002384166 | 2 | Mayo Clinic Health System in Red Wing |  | Mayo Clinic | 1100002356804 | Yes | 2013-02-14 | 701 HEWITT BLVD |  |  | RED WING | MN | 55066-2848 | US | [PHONE] | Provider | Ship To | Owned | 1100005151734 | Not for Profit | Inpatient (Acute) | Acute Care |  | 2013-02-14 | Active
1100002774790 | 3 | Mayo Clinic Health System Red Wing Home & Hospice |  | Mayo Clinic Health System in Red Wing | 1100002384166 | Yes | 2013-01-24 | 1407 W 4TH ST |  |  | RED WING | MN | 55066-2108 | US | (651) 267-5051 | Provider | Ship To | Owned |  | Not for Profit | Inpatient (Acute) | Acute Care |  | 2013-02-14 | Active
1100005902718 | 3 | Mayo Clinic Health System in Red Wing bill to |  | Mayo Clinic Health System in Red Wing | 1100002384166 | Yes | 2013-01-24 | PO BOX 95 |  |  | RED WING | MN | 55066-0095 | US | (307) 347-3221 | Provider | [NAME] | Owned |  | Not for Profit | Inpatient (Acute) | Acute Care |  | 2013-02-14 | Active
1100004781079 | 3 | Mayo Clinic Health System Red Wing in Zumbrota |  | Mayo Clinic Health System in Red Wing | 1100002384166 | Yes | 2013-01-24 | 1350 JEFFERSON DR |  |  | ZUMBROTA | MN | 55992-1180 | US | (651) 267-5000 | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Nonacute, not further specified |  | 2013-02-14 | Active
1100003368042 | 3 | Mayo Clinic Health System Red Wing in Ellsworth |  | Mayo Clinic Health System in Red Wing | 1100002384166 | Yes | 2013-01-24 | 503 W CAIRNS ST |  |  | ELLSWORTH | WI | 54011 | US | (651) 267-5000 | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Nonacute, not further specified |  | 2013-02-14 | Active
1100005672406 | 3 | The Downtown Plaza |  | Mayo Clinic Health System in Red Wing | 1100002384166 | Yes | 2013-01-24 | 434 W 4TH ST |  |  | RED WING | MN | 55066-2506 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Long Term Care |  | 2013-02-14 | Active
1100007072983 | 3 | MAYO CLINIC PHARMACY RED WING |  | Mayo Clinic Health System in Red Wing | 1100002384166 | Yes | 2013-01-24 | 701 HEWITT BLVD STE 2116 |  |  | RED WING | MN | 55066-2848 | US | [PHONE] | Provider | Ship To | Owned |  | Not for Profit | Inpatient (Acute) | Acute Care |  | 2013-02-14 | Active
1100004256058 | 3 | Mayo Clinic Health System in Red Wing |  | Mayo Clinic Health System in Red Wing | 1100002384166 | Yes | 2013-02-14 | 701 HEWITT BLVD | LABS - CYTOLOGY REDWING |  | RED WING | MN | 55066-2848 | US | [PHONE] | Provider | Ship To | Owned | 1100004715036 | Not for Profit | Inpatient (Acute) | Acute Care |  | 2013-02-14 | Active
1100008705170 | 2 | Mayo Clinic Optical Lab |  | Mayo Clinic | 1100002356804 | Yes | 2014-07-08 | 2915 VALLEYHIGH DR NW |  |  | ROCHESTER | MN | 55901-2793 | US | [PHONE] | Provider | Ship To,Deliver To | Owned |  | Not for Profit | Outpatient (non-acute, ambulatory) | Physician, independent multi-specialty group practice |  | 2014-07-08 | Active
1100008706610 | 2 | Mayo Clinic Square |  | Mayo Clinic | 1100002356804 | No | 2014-07-11 | 600 HENNEPIN AVE |  |  | MINNEAPOLIS | MN | 55403-1816 | US | [PHONE] | Provider | Ship To,Deliver To | Owned |  | For Profit | Inpatient (Acute) | Acute Care |  | 2014-07-11 | Active
1100004341419 | 2 | Kingman Hospital, Inc. |  | Mayo Clinic | 1100002356804 | Yes | 2013-01-24 | 3269 STOCKTON HILL RD |  | Hospital - Corporate Office | KINGMAN | AZ | 86409-3619 | US | [PHONE] | Provider | [NAME] To,Ship To | Managed |  | Not for Profit | Inpatient (Acute) | Warehouse, IDN centralized non-pharmacy |  | 2012-08-07 | Active
1100003311086 | 3 | Kingman Regional Medical Center |  | Kingman Hospital, Inc. | 1100004341419 | Yes | 2013-01-24 | 3269 STOCKTON HILL RD |  | Hospital | KINGMAN | AZ | 86409-3619 | US | [PHONE] | Provider | Ship To | Managed |  | Not for Profit | Inpatient (Acute) | Acute Care |  | 2012-08-07 | Active