Mayo Clinic Hospital-Rochester
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Albert Lea, MN
NPI 1114993136 · NPPES record last updated Aug 18, 2025
Key facts
- NPI
- 1114993136
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- License
- 324083 (MN)
- Legal business name
- MAYO CLINIC HOSPITAL-ROCHESTER
- Practice address
- 404 W Fountain St
Albert Lea, MN 56007-2437 - Phone
- (507) 373-2384
- Fax
- (507) 373-6248
- NPI assigned
- Feb 28, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- MAYO CLINIC HOSPITAL-ROCHESTER
Authorized official
- Name
- Mr. Dennis Dahlen
- Title
- Chief Financial Officer
- Phone
- (507) 538-3389
Other NPIs with the same Medicare PAC ID 11
Corporate family (same tax ID) 14
Member of 1
Affiliated clinicians 5
-
Margaret M D'Uscio, APRN, C.N.P., D.N.P.
-
Jacqueline Wanek, APRN, CNP
-
Cora Lyn Wilson, DNP, APRN, FNP-BC
-
Ziad M Zoghby, M.D.
Medicare Care Compare: Dialysis facility
- Listed as
- Mayo Dialysis - Albert Lea
- Overall star rating
- ★★☆☆☆ 2.0 of 5
- Ownership
- Non-profit
- Certified
- Nov 22, 2005
- Medicare certification status
- Active
- Chain
- Mayo Clinic Dialysis
- Dialysis stations
- 24
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131017000594 | MN | Part a Provider - End-Stage Renal Disease Facility (ESRD) | 2860572575 | Practice locations: Albert Lea, MN |
National Provider Directory
- Tax ID family
- St Marys Hospital Pharm
- Part of
- St Marys Hospital Pharm
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 324083 | MN | Yes |
Addresses
Primary practice location
404 W Fountain St
Albert Lea, MN 56007-2437
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-1937
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Other providers in Albert Lea, MN
- Mayo Clinic Health System-Southeast Minnesota Region
- Mayo Clinic Health System-Southeast Minnesota Region
- Mayo Clinic Health System-Southeast Minnesota Region
- Mayo Clinic Health System-Southeast Minnesota Region
- Mayo Clinic Health System-Southeast Minnesota Region
- Mayo Foundation for Medical Education & Research
- Craig Manwell McCormick
- Barbara Jo Meek-Thue
- Carla Marie Mehelich-Ubben
- Mercy Health Services- Iowa Corp
All providers in Albert Lea, MN · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.