| Organization Name: | MAYO HEALTH SYSTEM |
| NPI Number: | 1336539592 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANITA ESHELMAN-PETERS (PHYSICIAN) |
| Mailing Address: | 309 S 10th Ave E Lake Mills |
| State: | IA US |
| Postal Code: | 504501849 |
| Phone Number: | 6415922361 |
| Fax Number: | |
| NPI Enumeration Date: | 01/27/2015 |
| NPI Last Update Date: | 01/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 27680 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |