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Mayo Clinic Health System-Lake City

Company Details

Name: Mayo Clinic Health System-Lake City
Jurisdiction: Minnesota
Legal type: Nonprofit Corporation (Domestic)
Status: Active / In Good Standing
Date formed: 28 Apr 1998 (27 years ago)
Company Number: def72f98-9ed4-e011-a886-001ec94ffe7f
File Number: 1R-484
Registered Office Address: 500 W Grant Str, Lake City, MN 55041, USA
ZIP code: 55041
County: Wabasha County
Place of Formation: Minnesota

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
MFD6EN5LLKF1 2025-02-11 500 W GRANT ST, LAKE CITY, MN, 55041, 1143, USA 500 WEST GRANT ST, LAKE CITY, MN, 55041, 1143, USA

Business Information

Congressional District 01
State/Country of Incorporation MN, USA
Activation Date 2024-02-14
Initial Registration Date 2014-04-25
Entity Start Date 1998-04-28
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 541714, 541715, 621111
Product and Service Codes AN11, AN42

Points of Contacts

Electronic Business
Title PRIMARY POC
Name DEE DEE STAHMAN
Address 500 WEST GRANT ST, LAKE CITY, MN, 55041, USA
Title ALTERNATE POC
Name VIRGINIA LARSON
Address 500 WEST GRANT ST, LAKE CITY, MN, 55041, USA
Government Business
Title PRIMARY POC
Name PAUL HAINES
Address 500 WEST GRANT ST, LAKE CITY, MN, 55041, USA
Title ALTERNATE POC
Name SUZANNE DIERCKS
Address 500 WEST GRANT ST, LAKE CITY, MN, 55041, USA
Past Performance
Title PRIMARY POC
Name SUZANNE DIERCKS
Address 500 WEST GRANT ST, LAKE CITY, MN, 55041, USA
Title ALTERNATE POC
Name VIRGINIA LARSON
Address 500 WEST GRANT ST, LAKE CITY, MN, 55041, USA

President

Name Role Address
Randy M Foss President 500 West Grant Street, Lake City, MN 55041, USA

Filing

Filing Name Filing date
Nonprofit Corporation (Domestic) Business Name (Business Name: Mayo Clinic Health System-Lake City) 2011-05-05
Nonprofit Corporation (Domestic) Business Name (Business Name: Lake City Medical Center-Mayo Health System) 2009-12-02
Merger - Nonprofit Corporation (Domestic) 2006-06-22
Amendment - Nonprofit Corporation (Domestic) 2003-06-18
Registered Office and/or Agent - Nonprofit Corporation (Domestic) 2000-04-27
Original Filing - Nonprofit Corporation (Domestic) 1998-04-28
Nonprofit Corporation (Domestic) Business Name (Business Name: LAKE CITY MEDICAL CENTER -- MAYO HEALTH SYSTEM) 1998-04-28

Date of last update: 25 Sep 2024

Sources: Minnesota's Official State Website