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Mayo Foundation for Medical Education & Research

Organization Active NPI Durable Medical Equipment & Medical Supplies · Fairmont, MN

NPI 1821644121 · NPPES record last updated Aug 25, 2026

Key facts

NPI
1821644121
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
800 Medical Center Dr Ste 292
Fairmont, MN 56031-4575
Phone
(507) 238-5133
Fax
(507) 238-8674
NPI assigned
Aug 13, 2019
Organization subpart
No

Authorized official

Name
Dennis Dahlen
Title
Chie 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 - Fairmont
800 Medical Center Dr, Fairmont, MN 56031-4575 · (507) 238-5133		 Commodes, Urinals, Bedpans|Heat & Cold Applications|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Walkers|Wheelchair Seating/Cushions|Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Ostomy Supplies|Tracheotomy Supplies|Urolo… 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
O20200121000537 MN DME Supplier - Medical Supply Company 5890608285 Practice locations: Fairmont, MN

National Provider Directory

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

Specialties & licenses

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

Addresses

Primary practice location

800 Medical Center Dr Ste 292
Fairmont, MN 56031-4575

Mailing address

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

Other names

  • Mayo Clinic Store - Fairmont 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 Fairmont, MN

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

Sources for this page

Verify at the official NPI Registry.