NPIMap

Organization Active NPI

Mayo Clinic Health System-Fairmont

  • Multi-Specialty Clinic/Center
  • Fairmont, MN
National Provider Identifier
1366410862
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MAYO CLINIC HEALTH SYSTEM-FAIRMONT
Practice address
800 Medical Center Dr
Fairmont, MN 56031-4575
Phone
(507) 238-8100
NPI assigned
Mar 9, 2006
Last updated
Apr 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Morris Miller
Title
Cfo
Phone
(507) 594-6449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

800 Medical Center Dr
Fairmont, MN 56031-4575

Mailing address

800 Medical Center Dr
Fairmont, MN 56031-4575

Other identifiers 1

IdentifierTypeStateIssuer
5T402FAOtherMNBLUE CROSS BLUE SHIELD

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, IA, WI, FL, AZ5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20040719000142 MN Part B Supplier - Clinic/Group Practice 4981694981 Receives reassigned benefits from 872 practitioners
Practice locations: Fairmont, MN; Blue Earth, MN; Windom, MN; Truman, MN; Trimont, MN; St James, MN; Rochester, MN; Mankato, MN…
O20060221000402 IA Part B Supplier - Clinic/Group Practice 4981694981 Receives reassigned benefits from 2 practitioners
Practice locations: Armstrong, IA
O20180104001216 WI Part B Supplier - Clinic/Group Practice 4981694981 Receives reassigned benefits from 35 practitioners
Practice locations: Eau Claire, WI; La Crosse, WI
O20180921001243 FL Part B Supplier - Clinic/Group Practice 4981694981 Receives reassigned benefits from 1 practitioner
Practice locations: Jacksonville, FL
O20181115002510 AZ Part B Supplier - Clinic/Group Practice 4981694981 Practice locations: Phoenix, AZ; Scottsdale, AZ

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory

Member of 2

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

Locations

4500 San Pablo Rd S
Jacksonville, FL 32224
Phone (904) 721-4815

411 S Grove St
Ste 3
Blue Earth, MN 56013
Phone (507) 526-4642

515 S Moore St
Blue Earth, MN 56013
Phone (507) 526-3273

1250 Goemann Rd
Fairmont, MN 56031
Phone (507) 235-2517

1101 Moulton and Parsons Dr
Saint James, MN 56081
Phone (507) 375-3261

1221 Whipple St
Eau Claire, WI 54703
Phone (715) 831-0100

Practitioners & affiliated clinicians

Practitioners 915

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.

View all 915

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1366410862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MEDICAL CENTER DR",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560314575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MEDICAL CENTER DR",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560314575",
            "telephone_number": "507-238-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYO CLINIC HEALTH SYSTEM-FAIRMONT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-09",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "507-594-6449"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5T402FA",
            "state": "MN"
        }
    ],
    "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": []
}

Other providers in Fairmont, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.