NPIMap

Organization Active NPI

Mayo Clinic

  • Air Ambulance
  • Rochester, MN
National Provider Identifier
1821326570
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
License
0390 Issued in MN
Legal business name
MAYO CLINIC
Practice address
1216 Second Street SW
Rochester, MN 55902-1906
Phone
(507) 255-7955
Fax
(507) 255-2037
NPI assigned
Nov 18, 2009
Last updated
Apr 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X 0390 MN Primary
Air Ambulance 3416A0800X 6011278 WI

Addresses

Primary practice location

1216 Second Street SW
Rochester, MN 55902-1906

Mailing address

200 First Street SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Other identifiers 2

IdentifierTypeStateIssuer
103823100MedicaidMN
41356400MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100427000668 MN Part B Supplier - Ambulance Service Supplier 6507778255 Practice locations: Mankato, MN; Rochester, MN
O20101004000010 WI Part B Supplier - Ambulance Service Supplier 6507778255 Practice locations: Eau Claire, WI

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Mayo Clinic Dialysis St MarysCCN 242324
Ownership
Non-profit
Certified
Jan 24, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Chain
Mayo Clinic Dialysis
Dialysis stations
3

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2106705Mayo Clinic Laboratories - Rochester Ed1216 2ND Street SW, Rochester, MN 55902Certificate of waiverDec 23, 2027

National Provider Directory

National Provider Directory

Member organizations 112

Organizations listed as members of this organization in the National Provider Directory.

View all 112

Locations

501 6th Ave NW
Rochester, MN 55901
Phone (507) 281-1226

Ownership & related parties

All facility ownership & control disclosures 39

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

FacilityTypeRoleSince
Mayo Clinic Health System-MankatoMankato, MN, CCN 240093 Hospital Operational/Managerial Control Jan 1, 2010
Mayo Clinic HospitalPhoenix, AZ, CCN 030103 Hospital Operational/Managerial Control Jan 1, 2010
Mayo Clinic Health System-Albert Lea and AustinAlbert Lea, MN, CCN 240043 Hospital Operational/Managerial Control Jan 1, 1996
Mayo Clinic JacksonvilleJacksonville, FL, CCN 100151 Hospital Operational/Managerial Control Jan 1, 2005
Mayo Clinic Health System-FairmontFairmont, MN, CCN 240166 Hospital Operational/Managerial Control Jan 1, 2015
Mayo Clinic Health System in Eau ClaireEau Claire, WI, CCN 520070 Hospital Operational/Managerial Control Mar 31, 2005
Mayo Clinic Health System-Lake CityLake City, MN, CCN 24Z338 Hospital Operational/Managerial Control Mar 16, 2007
Mayo Clinic Health System-Lake CityLake City, MN, CCN 241338 Hospital Operational/Managerial Control Mar 16, 2007
Mayo Clinic Health System-St JamesSaint James, MN, CCN 241333 Hospital Operational/Managerial Control Jan 1, 2010
Mayo Clinic Hospital-RochesterRochester, MN, CCN 240010 Hospital Operational/Managerial Control Oct 30, 2007
Mayo Clinic Hospital-RochesterRochester, MN, CCN 24T010 Hospital Operational/Managerial Control Oct 30, 2007
Mayo Clinic Health System-St JamesSaint James, MN, CCN 24Z333 Hospital Operational/Managerial Control Jul 1, 2011
Mayo Clinic Health System-Southwest Wisconsin Region IncLa Crosse, WI, CCN 520004 Hospital Operational/Managerial Control Jan 1, 2010
Mayo Clinic Health System - SpartaSparta, WI, CCN 521305 Hospital Operational/Managerial Control Jan 1, 2010
Mayo Psychiatry & Psychology Treatment CenterRochester, MN, CCN 24S010 Hospital Operational/Managerial Control Jan 1, 2011
Mayo Clinic Health System-FairmontFairmont, MN, CCN 24U166 Hospital Operational/Managerial Control Nov 18, 2010
Mayo Clinic Health System-Red WingRed Wing, MN, CCN 240018B Hospital Operational/Managerial Control Jan 1, 2018
Mayo Clinic Health System-WasecaWaseca, MN, CCN 241345 Hospital Operational/Managerial Control Jan 1, 2018
Mayo Clinic Health System-New PragueNew Prague, MN, CCN 241361 Hospital Operational/Managerial Control Jan 1, 2018
Mayo Clinic Health System-Cannon FallsCannon Falls, MN, CCN 241346 Hospital Operational/Managerial Control Jan 1, 2018
Mayo Clinic Health System-Red CedarMenomonie, WI, CCN 521340 Hospital Operational/Managerial Control Jan 1, 2018
Mayo Clinic Health System-NorthlandBarron, WI, CCN 521315 Hospital Operational/Managerial Control Jan 1, 2018
Mayo Clinic Health System-OakridgeOsseo, WI, CCN 521302 Hospital Operational/Managerial Control Jan 1, 2018
Mayo Clinic Health System-Chippewa ValleyBloomer, WI, CCN 521314 Hospital Operational/Managerial Control Jan 1, 2018
Mayo Clinic Health System-WasecaWaseca, MN, CCN 24Z345 Hospital Operational/Managerial Control Jan 1, 2018
Mayo Clinic Health System-New PragueNew Prague, MN, CCN 24Z361 Hospital Operational/Managerial Control Jan 1, 2018
Mayo Clinic Health System-Cannon FallsCannon Falls, MN, CCN 24Z346 Hospital Operational/Managerial Control Jan 1, 2018
Mayo Clinic Health System-Red CedarMenomonie, WI, CCN 52Z340 Hospital Operational/Managerial Control Jan 1, 2018
Mayo Clinic Health System-NorthlandBarron, WI, CCN 52Z315 Hospital Operational/Managerial Control Jan 1, 2018
Mayo Clinic Health System-OakridgeOsseo, WI, CCN 52Z302 Hospital Operational/Managerial Control Jan 1, 2018
Mayo Clinic Health System-Chippewa ValleyBloomer, WI, CCN 52Z314 Hospital Operational/Managerial Control Jan 1, 2018
Mayo Clinic Health System- SpartaSparta, WI, CCN 52Z305 Hospital Operational/Managerial Control Jan 1, 2010
Life Care ServicesRochester, MN, CCN 245282 Skilled nursing facility Operational/Managerial Control Jul 1, 1981
Mayo Clinic Health System-Lake CityLake City, MN, CCN 245218B Skilled nursing facility Operational/Managerial Control Jan 1, 1998
Mayo Clinic Health System in Eau ClaireEau Claire, WI, CCN 527138 Home health agency Operational/Managerial Control (100%) Jan 1, 2015
Mayo Clinic Health System - SpartaSparta, WI, CCN 523998 Rural health clinic Operational/Managerial Control Aug 24, 2010
Mayo Clinic Health System-Southwest Wisconsin Region IncArcadia, WI, CCN 528601 Rural health clinic Operational/Managerial Control Aug 1, 2018
Mayo Clinic Health System - Prairie Du ChienPrairie Du Chien, WI, CCN 528625 Rural health clinic Operational/Managerial Control (100%) Apr 1, 2020
Mayo Clinic Health System - Oakridge in MondoviMondovi, WI, CCN 528627 Rural health clinic Operational/Managerial Control (100%) Jun 14, 2021

Owned or controlled facilities with NPI records 39

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

View all 39

Practitioners & affiliated clinicians

Practitioners 1,844

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 1,844

NPI Registry JSON

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1821326570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FIRST STREET SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "507-284-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 SECOND STREET SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559021906",
            "telephone_number": "507-255-7955",
            "fax_number": "507-255-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYO CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "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": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "MN",
            "license": "0390",
            "primary": true
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "WI",
            "license": "6011278",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103823100",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41356400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.