Mayo Clinic Health System-Fairmont

NPI #1073910238 in Fairmont, Minnesota

Provider Information

NPI Number: 1073910238
Entity Type: Organization
Organization Name: Mayo Clinic Health System-Fairmont
Subpart: Yes (part of a larger organization)
Parent Organization: MAYO CLINIC HEALTH SYSTEM-FAIRMONT
Primary Specialty: Non-Pharmacy Dispensing Site
Enumeration Date: Dec 3, 2014
Last Updated: Nov 19, 2021

Practice Location

Address: 800 MEDICAL CENTER DR
City: Fairmont
State: Minnesota
ZIP Code: 56031-4575
Phone: (507) 238-8168

Authorized Official

Name: PRAVEEN MEKALA
Title: CFO
Phone: (507) 266-1557

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Non-Pharmacy Dispensing Site	332900000X	Primary

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