Mayo Foundation for Medical Education & Research

Organization Active NPI Durable Medical Equipment & Medical Supplies · Red Wing, MN

NPI 1366041782 · NPPES record last updated Aug 25, 2026

Key facts

NPI
1366041782
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
MAYO FOUNDATION FOR MEDICAL EDUCATION & RESEARCH
Practice address
3243 S Service Dr
Red Wing, MN 55066-1821
Phone
(651) 385-3450
Fax
(651) 385-3347
NPI assigned
Oct 19, 2020
Organization subpart
No

Authorized official

Name
Dennis Dahlen
Title
Chief Financial Officer
Phone
(507) 284-2511

Owned or controlled facilities with NPI records 1

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

Other NPIs with the same Medicare PAC ID 20

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

Corporate family (same tax ID) 20

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

Member of 1

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

Laboratory certificates & supplier records

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Mayo Clinic Store - Red Wing
3243 S Service Dr, Red Wing, MN 55066-1821 · (651) 385-3450
Commodes, Urinals, Bedpans|Heat & Cold Applications|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchair Seating/Cushions|Orthoses: Off-The-Shelf… Does not accept assignment
Participating since Oct 21, 2003

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN

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 Center
Albert Lea, MN · CCN 245425
Skilled nursing facility Other Mar 1, 2021

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20210218000478 MN DME Supplier - Medical Supply Company 5890608285 Practice locations: Red Wing, MN

National Provider Directory

Tax ID family
Mayo Medical Resources (21 organizations share this tax ID)

Locations

701 Hewitt Blvd
Ste 2115
Red Wing, MN 55066
Phone (651) 385-3450

3243 S Service Dr
Red Wing, MN 55066

Specialties & licenses

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

Addresses

Primary practice location

3243 S Service Dr
Red Wing, MN 55066-1821

Mailing address

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

Other names

  • MAYO CLINIC STORE - RED WING Doing business as

Electronic endpoints

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

Other providers in Red Wing, MN

All providers in Red Wing, MN · Durable Medical Equipment & Medical Supplies in Minnesota

Sources for this page

Verify at the official NPI Registry.