MAYO CLINIC HOSPITAL-ROCHESTER (NPI# 1104893080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104893080 |
| Entity Type | Organization |
| Organization Name | MAYO CLINIC HOSPITAL-ROCHESTER |
| Practice Address |
2200 Nw 26th St Owatonna MN 55060-5503 |
| Mailing Address |
200 1st St Sw Rochester MN 55905-0001 |
| Practice Telephone | 5074511120 |
| Practice Fax Number | 5074446287 |
| Mailing Telephone | 5072841937 |
| Mailing Fax Number | 5072840986 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2019-04-03 |
| 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 |
|---|---|---|---|---|
| 1114993136 | Mayo Clinic Hospital-rochester | Clinic/Center | 1705 Se Broadway Ave, Albert Lea, MN 56007-3265 | 2006-02-28 |
| 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 |
| 1790751048 | Mayo Clinic Hospital-rochester | Rehabilitation Unit | 1216 2nd St Sw, Rochester, MN 55902-1906 | 2006-02-27 |
| Street Address |
2200 NW 26TH ST |
| City | OWATONNA |
| State | MN |
| Zip Code | 55060-5503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324846 | Sara L. Packard | Physician Assistant | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2005-05-27 |
| 1275146680 | Jessica K Phelps | Nurse Practitioner | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2020-08-25 |
| 1588299804 | Cayla Kathleen Witte | Physician Assistant | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2020-03-06 |
| 1457909384 | Aicha Sylvie Katty | Nurse Practitioner | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2019-09-04 |
| 1366091266 | Melanie Kay Busch | Nurse Practitioner | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2019-09-04 |
| 1013576982 | Brady Michael Gross | Physician Assistant | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2019-06-13 |
| 1023573193 | Kayla Marie Cook | Physician Assistant | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2019-02-04 |
| 1467926618 | Megan Alm | Physician Assistant | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2019-01-21 |
| 1356814271 | Mallory Lynn Berry | Family Medicine | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2019-01-03 |
| 1801313796 | Melinda Louann Wiese | Nurse Practitioner | 2200 Nw 26th St, Owatonna, MN 55060-5503 | 2017-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669936480 | Lee Joseph Bakewell | Nurse Practitioner | 2200 Nw 26th St, Owatonna, Owatonna, MN 55060 | 2019-01-25 |
| 1275028227 | Karen Brennhofer | Audiologist | 2200 Nw 26th St Apt 309, Owatonna, MN 55060 | 2018-06-22 |
| 1801326418 | Katharyn Kristin Stricklin | Registered Nurse | 1961 Premier Drive, Suite 340 Mankato, Mankato, MN 55060 | 2017-06-15 |
| 1134666753 | Holly Christianson | Social Worker | 2575 Harvest Lane Nw, Owatonna, MN 55060 | 2017-01-20 |
| 1346613031 | Birchwood Cottages | Assisted Living Facility | 1905 Austin Road, Owatonna, MN 55060 | 2015-11-04 |
| 1881080067 | Cory Michael Kopas | Chiropractor | 130 26th Street Nw, Owatonna, MN 55060 | 2015-04-14 |
| 1528456613 | Quality Home Health Care Inc. | Home Health | 201 East Front Street, Owatonna, MN 55060 | 2014-12-26 |
| 1194017624 | Amy Louise Haycraft | Nurse Practitioner | South Central Human Relations Center, 610 Florence Ave, Owatonna, MN 55060 | 2011-05-02 |
| 1710123971 | Rahn Optometry Inc | Optometrist | 1130 W. Frontage Rd, Owatonna, MN 55060 | 2008-12-18 |
| 1063616993 | Michael John Dickman | Dentist | 1414 S Oak Ave Suite Five, Owatonna, MN 55060 | 2007-06-13 |
| Find all providers in zip 55060 | ||||
| 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 | ||||
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| 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.