Active NPI
Mayo Clinic
- Case Management Agency
- Rochester, MN
National Provider Identifier
1588895643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- MAYO CLINIC
- Practice address
- 200 1St St SW
Rochester, MN 55905-0001 - Phone
- (507) 284-2511
- Fax
- (507) 284-0574
- NPI assigned
- Aug 6, 2009
- Last updated
- Apr 12, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dennis Dahlen
- Title
- Chief Financial Officer
- Phone
- (507) 538-3389
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | Primary |
Addresses
Primary practice location
200 1St St SW
Rochester, MN 55905-0001
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 702712500 | Medicaid | MN |
National Provider Directory
National Provider Directory- Tax ID family
- Mayo Clinic Business of
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Rochester, MN
- NPI 1083249577
-
- Community Based Hospice Care Agency
- Rochester, MN
- NPI 1164758868
-
- Durable Medical Equipment & Medical Supplies
- Rochester, MN
- NPI 1467622092
-
- Multi-Specialty Clinic/Center
- Rochester, MN
- NPI 1538568928
-
- Multi-Specialty Clinic/Center
- Rochester, MN
- NPI 1881018208
-
dba Mayo Clinic Center of Excellence Program
- Multi-Specialty Clinic/Center
- Rochester, MN
- NPI 1912403536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618185600000",
"number": "1588895643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 1ST ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559050001",
"telephone_number": "507-284-2511",
"fax_number": "507-284-0574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 1ST ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559050001",
"telephone_number": "507-284-2511",
"fax_number": "507-284-0574"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAYO CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-06",
"last_updated": "2021-04-12",
"certification_date": "2021-04-12",
"status": "A",
"authorized_official_last_name": "DAHLEN",
"authorized_official_first_name": "DENNIS",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "507-538-3389",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "702712500",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.