Healthcare Provider Details

I. General information

NPI: 1538135892
Provider Name (Legal Business Name): MAYO CLINIC HOSPITAL-ROCHESTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2006
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3041 STONEHEDGE DRIVE NE
ROCHESTER MN
55906
US

IV. Provider business mailing address

200 1ST ST SW
ROCHESTER MN
55905-0001
US

V. Phone/Fax

Practice location:
  • Phone: 507-538-8500
  • Fax: 507-538-8543
Mailing address:
  • Phone: 507-284-1937
  • Fax: 507-284-0986

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0700X
TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
License Number324083
License Number StateMN

VIII. Authorized Official

Name: MR. DENNIS DAHLEN
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 507-266-4416