MAYO CLINIC HOSPITAL-ROCHESTER NPI 1114993136

NPI Information

NPI: 1114993136
Provider Name: MAYO CLINIC HOSPITAL-ROCHESTER
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 24D2105389

Address:
1705 SE BROADWAY AVE
ALBERT LEA, MN
ZIP 56007
Phone: (507) 373-2384
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MAYO CLINIC HOSPITAL-ROCHESTER is an end-stage renal disease (esrd) treatment clinic center in Albert Lea, MN. MAYO CLINIC HOSPITAL-ROCHESTER NPI is 1114993136. The provider is registered as an organization entity type.

The provider's business location address is:

1705 SE BROADWAY AVE
ALBERT LEA, MN
ZIP 56007-265
Phone: (507) 373-2384
Fax: (507) 373-6248

The provider's authorized official is Dennis Dahlen .
The authorized official title is Chief Financial Officer and has the following contact phone number (507) 538-3389.

The CLIA number assigned to this NPI record is 24D2105389 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/28/2006 and was last updated on 8/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	324083	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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