NPIMap

Organization Active NPI

Mayo Foundation for Medical Education & Research

Doing business as Mayo Clinic Store - Decorah

  • Durable Medical Equipment & Medical Supplies
  • Decorah, IA
National Provider Identifier
1275313876
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MAYO FOUNDATION FOR MEDICAL EDUCATION & RESEARCH
Doing business as
Mayo Clinic Store - Decorah
Practice address
901 Montgomery St Ste B
Decorah, IA 52101-2325
Phone
(563) 382-0028
Fax
(507) 422-1126
NPI assigned
Oct 2, 2023
Last updated
Aug 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dennis Dahlen
Title
Cfo
Phone
(507) 284-2511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

901 Montgomery St Ste B
Decorah, IA 52101-2325

Mailing address

PO Box 861019
Minneapolis, MN 55486-1019
Phone (888) 303-9354

Other names 1

  • Mayo Clinic Store - Decorah Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240314001638 IA DME Supplier - Medical Supply Company 5890608285 Practice locations: Decorah, IA

Other NPIs with the same Medicare PAC ID 20

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 20

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Mayo Clinic Store - Decorah901 Montgomery St, Decorah, IA 52101-2325(563) 382-0028 Commodes, Urinals, Bedpans|Heat & Cold Applications|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supplies|Voice Prosthetics|Continuous Positive Airway Pressure (CPAP) Devices|Nebulizer Equipment a… Does not accept assignmentParticipating since Oct 21, 2003

National Provider Directory

National Provider Directory
Tax ID family
Mayo Medical Resources21 organizations share this tax ID, including this one
Part of
Mayo Medical Resources

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

901 Montgomery St
Ste B
Decorah, IA 52101
Phone (563) 382-0028

32021 County 24 Blvd
Ste 1716
Cannon Falls, MN 55009
Phone (507) 263-9825

631 1st St SE
Faribault, MN 55021
Phone (507) 334-6451

1100 W Frontage Rd
Ste 160
Owatonna, MN 55060
Phone (507) 444-5098

701 Hewitt Blvd
Ste 2116
Red Wing, MN 55066
Phone (651) 267-5785

100 Third Ave SW
Rm 17121
Rochester, MN 55905
Phone (507) 538-6812

1201 Broadway Ave S
Ste 36
Rochester, MN 55904
Phone (507) 284-9669

1216 2nd St SW
#M600B
Rochester, MN 55902
Phone (507) 255-5731

200 1st St SW
#123
Rochester, MN 55905
Phone (507) 284-9669

200 1st St SW
#14
Rochester, MN 55905
Phone (507) 284-2021

200 1st St SW
Ste 17121
Rochester, MN 55905
Phone (507) 284-9669

200 1st St SW
Ste SL123
Rochester, MN 55905
Phone (507) 284-9669

201 Center St W
#92
Rochester, MN 55902
Phone (507) 266-7416

201 Center St W
Ste LO19
Rochester, MN 55902
Phone (507) 266-7416

21 2nd St SW
Rochester, MN 55902
Phone (507) 284-2021

3551 Commercial Dr SW
Rochester, MN 55902
Phone (507) 252-0885

433 Mill St
Zumbrota, MN 55992
Phone (507) 732-8400

1400 Bellinger St
#1510
Eau Claire, WI 54703

4348 Mormon Coulee Rd
La Crosse, WI 54601
Phone (608) 392-9797

2409 Stout Rd
Ste 1
Menomonie, WI 54751
Phone (715) 838-1815

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Thorne Crest Retirement CenterAlbert Lea, MN, CCN 245425 Skilled nursing facility Other Mar 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1275313876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 861019",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554861019",
            "telephone_number": "888-303-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MONTGOMERY ST STE B",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521012325",
            "telephone_number": "563-382-0028",
            "fax_number": "507-422-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYO FOUNDATION FOR MEDICAL EDUCATION & RESEARCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "DAHLEN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "507-284-2511"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd SteB",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mayo Clinic Store - Decorah",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mayo Clinic Store - Decorah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decorah, IA

Sources for this page

Verify at the official NPI Registry.