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MAYO CLINIC HEALTH SYSTEM-FAIRMONT
NPI 1073910238
Non-Pharmacy Dispensing Site in Fairmont, MN

Active since December 03, 2014CLIA Certified · 2 labs
800 MEDICAL CENTER DR, FAIRMONT, MN 56031(507) 238-8168 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2026, Nov 19, 2021 (2 updates tracked since 2021).

About Mayo Clinic Health System-fairmont NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAYO CLINIC HEALTH SYSTEM-FAIRMONT (NPI 1073910238) is a healthcare organization registered as a non-pharmacy dispensing site in Fairmont, Minnesota and active in the NPI registry since December 2014. The organization holds 2 active CLIA laboratory certificates and lists Morris Miller, Cfo, as its authorized official.

NPPES Registry Identity

NPI1073910238
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameMAYO CLINIC HEALTH SYSTEM-FAIRMONT
Location Address800 MEDICAL CENTER DRFairmont, MN 56031-4575
Mailing Address6501 City West PkwyEden Prairie, MN 55344-3248 · (952) 653-2525
Phone(507) 238-8168
Organization SubpartNo
Authorized OfficialMorris MillerCfo · (507) 594-6449
Enumeration DateDecember 3, 2014
Last NPPES UpdateApril 16, 20262 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1073910238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
800 MEDICAL CENTER DR, Fairmont, MN 56031
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc. and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 24D0041046

Mayo Clinic Health System Fairmont · Fairmont, MN
Active · expires Jan 2, 2027
CLIA Number24D0041046
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDr. Adjoa Denyo Zakhia
Laboratory Phone(507) 238-5117
Laboratory LocationMayo Clinic Health System Fairmont800 Medical Center Drive, Fairmont, MN 56031
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 24D2231312

Mayo Clinic Health System Mobile Health Clinic · Fairmont, MN
Active · expires Aug 1, 2027
CLIA Number24D2231312
Laboratory TypeMobile Laboratory
Certificate Effective DateAugust 2, 2025
Certificate Expiration DateAugust 1, 2027
Laboratory DirectorAdjoa Denyo Zakhia
Laboratory Phone(507) 455-4444
Laboratory LocationMayo Clinic Health System Mobile Health Clinic800 Medical Center Drive, Fairmont, MN 56031
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID KRUSEMARK CRNA
Nurse Anesthetist, Certified Registered
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Martin County (507) 238-8555
MS. MICHELLE LARAE GEERDES OTR/L
Occupational Therapist
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Martin County (507) 238-8196
JAUCLYN RENEE GREEN NP
Nurse Practitioner
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Martin County (507) 238-8100
ANNE SHEPPARD RD
Dietitian, Registered
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Martin County (507) 238-8555
APRIL E POOLMAN FNP-C
Nurse Practitioner (Family)
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Martin County (507) 238-8100
DR. LUKE MATTHEW MADSEN D.P.M.
Podiatrist (Foot & Ankle Surgery)
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Martin County (507) 238-8100
DR. CATHERINE G JOHNSON DPT
Physical Therapist
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Martin County (507) 238-8196
JAE ECCHER DPT
Physical Therapist
800 MEDICAL CENTER DR
FAIRMONT, MN 56031
Martin County (507) 238-8196

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mayo Clinic Health System-Fairmont's NPI number?

The NPI number for Mayo Clinic Health System-Fairmont is 1073910238. It was assigned to this organization in the NPPES registry on December 3, 2014.

Where is Mayo Clinic Health System-Fairmont located?

Mayo Clinic Health System-Fairmont is located at 800 Medical Center Dr, Fairmont, MN 56031. The listed phone number is (507) 238-8168.

What is Mayo Clinic Health System-Fairmont's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Mayo Clinic Health System-Fairmont hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Mayo Clinic Health System-Fairmont accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and Avera Health Plans and 20 other insurers list Mayo Clinic Health System-Fairmont as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mayo Clinic Health System-Fairmont was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.