NPIMap

Organization Active NPI

Mayo Foundation for Medical Education & Research

Doing business as Mayo Clinic Store - Red Wing

  • Durable Medical Equipment & Medical Supplies
  • Red Wing, MN
National Provider Identifier
1366041782
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 - Red Wing
Practice address
3243 S Service Dr
Red Wing, MN 55066-1821
Phone
(651) 385-3450
Fax
(651) 385-3347
NPI assigned
Oct 19, 2020
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
Chief Financial Officer
Phone
(507) 284-2511

Specialties & licenses 1

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

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 1

  • MAYO CLINIC STORE - RED WING 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 MN

Enrollment records 1

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

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 - Red Wing3243 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 assignmentParticipating since Oct 21, 2003

National Provider Directory

National Provider Directory
Tax ID family
Springfield Medical Center21 organizations share this tax ID, including this one

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.

  • Mayo Clinic
    • Durable Medical Equipment & Medical Supplies
    • Rochester, MN
    • NPI 1467622092

    Member Of

    NPD member

Locations

3243 S Service Dr
Red Wing, MN 55066
Phone (651) 385-3450

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1366041782",
    "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": "3243 S SERVICE DR",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550661821",
            "telephone_number": "651-385-3450",
            "fax_number": "651-385-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYO FOUNDATION FOR MEDICAL EDUCATION & RESEARCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "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": "CHIEF FINANCIAL OFFICER",
        "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 - RED WING",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MAYO CLINIC STORE - RED WING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Red Wing, MN

Sources for this page

Verify at the official NPI Registry.