MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION
NPI 1073040838
Durable Medical Equipment & Medical Supplies in Faribault, MN

NPI Status: Active since May 11, 2017

Contact Information

300 STATE AVE
FARIBAULT, MN
ZIP 55021
Phone: (507) 333-3300

Get Directions Write a Review

  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 24D0914043
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 05-04-2027

About MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION

This page provides the complete NPI Profile along with additional information for Mayo Clinic Health System-southeast Minnesota Region, a provider established in Faribault, Minnesota operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1073040838 assigned on May 2017. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's former legal business name is Mayo Clinic Health System-albert Lea And Austin. The authorized official of this NPI record is Douglas Parks (Chair Administration)

NPI
1073040838
Provider Legal Name
MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION
Other Organization Name
MAYO CLINIC HEALTH SYSTEM-ALBERT LEA AND AUSTIN
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
300 STATE AVE FARIBAULT, MN 55021
Location Phone
(507) 333-3300
Mailing Address
2200 NW 26TH ST OWATONNA, MN 55060
Mailing Phone
(507) 333-3300
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-11-2017
Last Update Date
06-16-2018
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DOUGLAS PARKS

Authorized Official Title
CHAIR ADMINISTRATION
Authorized Official Phone
(507) 266-5010

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
24D0914043
Facility Type
Community Clinic
Certificate Effective Date
May 05, 2025
Certificate Expiration Date
May 04, 2027
Laboratory Director
DR. BHAVINI H. CARNS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mayo Clinic Health System-southeast Minnesota Region to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MAYO CLINIC HEALTH SYSTEM-SOUTHEAST MINNESOTA REGION

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1073040838, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
4
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
3
Doubled → 6
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 0 → 0 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 4 + 3 + 0 + 4 + 0 + 8 + 6 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1073040838.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Specialist/Technologist (Athletic Trainer)
300 STATE AVE
FARIBAULT, MN 55021
Physician Assistant
300 STATE AVE
FARIBAULT, MN 55021
Obstetrics & Gynecology
300 STATE AVE
FARIBAULT, MN 55021
Specialist
300 STATE AVE
FARIBAULT, MN 55021
Family Medicine
300 STATE AVE
FARIBAULT, MN 55021
Family Medicine
300 STATE AVE
FARIBAULT, MN 55021
Family Medicine
300 STATE AVE
FARIBAULT, MN 55021
Physician Assistant
300 STATE AVE
FARIBAULT, MN 55021
Psychiatry & Neurology (Neurology)
300 STATE AVE
FARIBAULT, MN 55021
Nurse Practitioner
300 STATE AVE
FARIBAULT, MN 55021
Nurse Practitioner (Family)
300 STATE AVE
FARIBAULT, MN 55021
Nurse Practitioner
300 STATE AVE
FARIBAULT, MN 55021
Counselor (Addiction (Substance Use Disorder))
300 STATE AVE
FARIBAULT, MN 55021

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073040838, enumerated as an "organization" on May 11, 2017.

The provider is located at 300 STATE AVE FARIBAULT, MN 55021 and the phone number is (507) 333-3300.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.