MAYO CLINIC HOSPITAL-ROCHESTER (NPI# 1114993136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114993136 |
| Entity Type | Organization |
| Organization Name | MAYO CLINIC HOSPITAL-ROCHESTER |
| Practice Address |
1705 Se Broadway Ave Albert Lea MN 56007-3265 |
| Mailing Address |
200 1st St Sw Rochester MN 55905-0001 |
| Practice Telephone | 5073732384 |
| Practice Fax Number | 5073736248 |
| Mailing Telephone | 5072841937 |
| Mailing Fax Number | 5072840986 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2018-02-20 |
| Authorized Official Name | MR. DENNIS DAHLEN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5072664416 |
| Is Organization Subpart | Y |
| Parent Organization Name | MAYO CLINIC HOSPITAL-ROCHESTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
324083 | MN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 080847400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215903414 | Mayo Clinic Hospital-rochester | Clinic/Center | 835 Johnson Street, Fairmont, MN 56031 | 2006-02-27 |
| 1487620688 | Mayo Clinic Hospital-rochester | Clinic/Center | 901 Montgomery Street, Decorah, IA 52101 | 2006-02-27 |
| 1538135892 | Mayo Clinic Hospital-rochester | Clinic/Center | 3041 Stonehedge Drive Ne, Rochester, MN 55906 | 2006-02-27 |
| 1710953286 | Mayo Clinic Hospital-rochester | Clinic/Center | 201 W Center St, Rochester, MN 55902-3003 | 2006-02-24 |
| 1518427285 | Mayo Clinic Hospital-rochester | Clinic/Center | 1216 2nd St Sw, Rochester, MN 55902-1906 | 2019-03-20 |
| 1659877280 | Mayo Clinic Hospital-rochester | General Acute Care Hospital | 1216 2nd St Sw, Rochester, MN 55902-1906 | 2018-04-03 |
| 1083804876 | Mayo Clinic Hospital-rochester | Pharmacy | 201 W Center St, Rochester, MN 55902-3003 | 2007-07-27 |
| 1194915983 | Mayo Clinic Hospital-rochester | Pharmacy | 1216 2nd St Sw, Rochester, MN 55902-1906 | 2007-07-27 |
| 1104893080 | Mayo Clinic Hospital-rochester | Clinic/Center | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2006-03-01 |
| 1790751048 | Mayo Clinic Hospital-rochester | Rehabilitation Unit | 1216 2nd St Sw, Rochester, MN 55902-1906 | 2006-02-27 |
| Street Address |
1705 SE BROADWAY AVE |
| City | ALBERT LEA |
| State | MN |
| Zip Code | 56007-3265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871005744 | Julie Gates Nafzger | Physical Therapist | 1705 Se Broadway Ave, Albert Lea, MN 56007-3265 | 2017-10-31 |
| 1821500810 | Renee Yvonne Ruble | Physical Therapy Assistant | 1705 Se Broadway Ave, Albert Lea, MN 56007-3265 | 2017-10-30 |
| 1740792878 | Jill Rockers | Occupational Therapy Assistant | 1705 Se Broadway Ave, Albert Lea, MN 56007-3265 | 2017-10-30 |
| 1952813081 | Christine Ann Gislason | Occupational Therapy Assistant | 1705 Se Broadway Ave, Albert Lea, MN 56007-3265 | 2017-10-30 |
| 1295247369 | Joni Bidne | Occupational Therapy Assistant | 1705 Se Broadway Ave, Albert Lea, MN 56007-3265 | 2017-10-30 |
| 1407368582 | Patricia Fay Peterson | Occupational Therapist | 1705 Se Broadway Ave, Albert Lea, MN 56007-3265 | 2017-10-30 |
| 1275045692 | Kristal Kay Paulson | Physical Therapist | 1705 Se Broadway Ave, Albert Lea, MN 56007-3265 | 2017-10-25 |
| 1639681158 | Jennifer Anne Chalmers | Physical Therapist | 1705 Se Broadway Ave, Albert Lea, MN 56007-3265 | 2017-10-25 |
| 1891207213 | Penny Hammer | Physical Therapy Assistant | 1705 Se Broadway Ave, Albert Lea, MN 56007-3265 | 2017-10-25 |
| 1376055764 | Cheryl Irvin | Physical Therapist | 1705 Se Broadway Ave, Albert Lea, MN 56007-3265 | 2017-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700395860 | Kelsey Paulson | Massage Therapist | 1629 West Main Street, Touchworks Massage Skyline Plaza, Albert Lea, MN 56007 | 2017-09-21 |
| 1366984536 | Allied Health Care Professional Service Corporation | Health Maintenance Organization | 140 W Clark St, Albert Lea, MN 56007 | 2016-11-05 |
| 1174875165 | Michael Gene White | Pharmacist | 1615 West Main St, Albert Lea, MN 56007 | 2012-10-15 |
| 1841596384 | Elizabeth Jordan Berg | Chiropractor | 72599 220th St, Albert Lea, MN 56007 | 2011-02-01 |
| 1235453606 | Michael Aaron Starner | Physician Assistant | 404 W Fountain St Unit 516, Albert Lea, MN 56007 | 2010-03-15 |
| 1215149364 | John M Enger, Professional Association | Podiatrist | 904 E Plaza Street, Albert Lea, MN 56007 | 2007-05-03 |
| 1760532485 | Lowell Wherry Barr | Pediatrics | 203 W Clark, Albert Lea, MN 56007 | 2007-01-12 |
| 1073688917 | Wendy Elizabeth Walker | Psychologist | 117 South Newton Avenue, Albert Lea, MN 56007 | 2006-11-22 |
| 1487739090 | Rem Woodvale Inc | Intermediate Care Facility, Mentally Retarded | 1204 Plainview Lane, Albert Lea, MN 56007 | 2006-10-25 |
| 1275621294 | Eleanor Wanden | Technician | 1815 Minnesota Ave, Albert Lea, MN 56007 | 2006-10-11 |
| Find all providers in zip 56007 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183832 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 6160 Summit Dr N Ste 150, Brooklyn Center, MN 55430-2118 | 2020-10-28 |
| 1902392111 | Chaffee Dialysis LLC | Clinic/Center | 862 Arcade St, Saint Paul, MN 55106 | 2018-07-11 |
| 1225541055 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 7433 Currell Blvd, Woodbury, MN 55125-2217 | 2017-11-15 |
| 1154856839 | Avera Marshall | Clinic/Center | 300 S Bruce St Ste D, Marshall, MN 56258-1934 | 2017-05-01 |
| 1225573777 | Atlantic Dialysis LLC | Clinic/Center | 1802 Commerce Dr, North Mankato, MN 56003-1800 | 2016-12-19 |
| 1437694981 | Atlantic Dialysis LLC | Clinic/Center | 701 N Broadway St, New Ulm, MN 56073-1201 | 2016-12-19 |
| 1467801860 | Total Renal Care, Inc. | Clinic/Center | 20184 Heritage Dr, Lakeville, MN 55044-6855 | 2016-06-07 |
| 1003292392 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 17592 Dodd Blvd, Lakeville, MN 55044-3909 | 2015-08-10 |
| 1629461470 | Babler Dialysis, LLC | Clinic/Center | 2660 S Broadway, Ste A, Rochester, MN 55904-6263 | 2015-03-17 |
| 1588067391 | Meesa Dialysis LLC | Clinic/Center | 245 Isle St W, Isle, MN 56342-4908 | 2014-10-07 |
| Find all providers with the same taxonomy | ||||
| City | ALBERT LEA |
| Zip Code | 56007 |
Please comment or provide details below to improve the information on MAYO CLINIC HOSPITAL-ROCHESTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.