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NPI Code Detail

MEDICARE: MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC.

MEDICARE: MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory
2333600000XPharmacy
3282N00000XGeneral Acute Care Hospital1990WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629027578
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC.
Provider Business Mailing Address
First Line : 1221 WHIPPLE ST
Second Line :
City : EAU CLAIRE
State : WI
Zip : 54703-5270
Country : US
Telephone Number : 715-838-3311
Fax Number :
Provider Business Practice Location Address
First Line : 1221 WHIPPLE ST
Second Line :
City : EAU CLAIRE
State : WI
Zip : 54703-5270
Country : US
Telephone Number : 715-838-3311
Fax Number :
Authorized Official
Title or Position : CFO
Name : ADAM SMITH
Credential :
Telephone Number : 715-838-5275
Provider Enumeration Date : 05/09/2006
Last Update Date : 05/11/2026

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Directions to “MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC. ” Practice Location

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