Organization
MAYO CLINIC HEALTH SYSTEM-FAIRMONT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORRIS MILLER (CFO)
(507) 594-6449
Entity
Organization
Contact information
Practice address
800 MEDICAL CENTER DR, FAIRMONT, MN 56031-4575
(507) 238-8100
Mailing address
800 MEDICAL CENTER DR, FAIRMONT, MN 56031-4575
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5T402FA
BLUE CROSS BLUE SHIELD
MN
Enumeration date
03/09/2006
Last updated
04/16/2026
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