| Organization Name: | MAYO CLINIC HEALTH SYSTEM-ALBERT LEA AND AUSTIN |
| NPI Number: | 1851310247 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHEN C WALDHOFF (CAO) |
| Mailing Address: | 408 4th Ave Nw Austin |
| State: | MN US |
| Postal Code: | 559123039 |
| Phone Number: | 5074341416 |
| Fax Number: | |
| NPI Enumeration Date: | 07/18/2006 |
| NPI Last Update Date: | 01/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 330991 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |