MEDICARE: MAYO CLINIC HOSPITAL-ROCHESTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	324083	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710953286
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAYO CLINIC HOSPITAL-ROCHESTER

Provider Business Mailing Address
First Line	:	200 1ST ST SW
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55905-0001
Country	:	US
Telephone Number	:	507-284-1937
Fax Number	:	507-284-0986

Provider Business Practice Location Address
First Line	:	201 W CENTER ST
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55902-3003
Country	:	US
Telephone Number	:	507-266-7890
Fax Number	:	507-266-1353

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	MR. DENNIS DAHLEN
Credential	:
Telephone Number	:	507-266-4416

Provider Enumeration Date	:	02/24/2006
Last Update Date	:	08/18/2025

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Directions to “MAYO CLINIC HOSPITAL-ROCHESTER ” Practice Location

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