Basic Information
| Provider Information | |||||||||
| NPI: | 1841266194 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MAYO CLINIC HOSPITAL-ROCHESTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | MAYO CLINIC | ||||||||
| Address2: | 200 1ST STREET SW | ||||||||
| City: | ROCHESTER | ||||||||
| State: | MN | ||||||||
| PostalCode: | 559050001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5072842511 | ||||||||
| FaxNumber: | 5072840986 | ||||||||
| Practice Location | |||||||||
| Address1: | 1216 2ND ST SW | ||||||||
| Address2: | |||||||||
| City: | ROCHESTER | ||||||||
| State: | MN | ||||||||
| PostalCode: | 559021906 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5072555123 | ||||||||
| FaxNumber: | 5072553125 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/27/2006 | ||||||||
| LastUpdateDate: | 11/10/2020 | ||||||||
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| AuthorizedOfficialLastName: | DAHLEN | ||||||||
| AuthorizedOfficialFirstName: | DENNIS | ||||||||
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| AuthorizedOfficialTitleorPosition: | CHIEF FINANCIAL OFFICER | ||||||||
| AuthorizedOfficialTelephone: | 5075383389 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| NPICertificationDate: | 11/10/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | 324084 | MN | Y | Hospitals | General Acute Care Hospital |
No ID Information.