| Organization Name: | MAYO CLINIC HOSPITAL-ROCHESTER |
| NPI Number: | 1114993136 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KEDRICK D. ADKINS (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 1705 Se Broadway Ave Albert Lea |
| State: | MN US |
| Postal Code: | 560073265 |
| Phone Number: | 5073732384 |
| Fax Number: | 5073736248 |
| NPI Enumeration Date: | 02/28/2006 |
| NPI Last Update Date: | 08/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0700X |
| License Number: | 324083 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
| Taxonomy Definition: | |