MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC. (NPI# 1235666967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235666967 |
| Entity Type | Organization |
| Organization Name | MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC. |
| Other Organization Name | MAYO CLINIC HEALTH SYSTEM-RED CEDAR, |
| Practice Address |
2321 Stout Rd Menomonie WI 54751-7003 |
| Practice Telephone | 7152355531 |
| Mailing Telephone | 7152355531 |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |
| Authorized Official Name | JULIE HANSEN (CFO) |
| Authorized Official Telephone | 7158385270 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mayo Clinic Health System-Red Cedar, | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861416166 | Mayo Clinic Health System-northwest Wisconsin Region, Inc. | Pharmacy | 1400 Bellinger St Ste 1, Eau Claire, WI 54703-5222 | 2006-07-27 |
| 1629091004 | Mayo Clinic Health System-northwest Wisconsin Region, Inc. | Pharmacy | 13025 8th St Ste 1, Osseo, WI 54758-7634 | 2006-07-26 |
| 1548283435 | Mayo Clinic Health System-northwest Wisconsin Region, Inc. | Pharmacy | 1707 Westgate Rd Ste 1, Eau Claire, WI 54703-4964 | 2006-07-25 |
| 1457374365 | Mayo Clinic Health System-northwest Wisconsin Region, Inc. | Pharmacy | 733 W Clairemont Ave Ste 1, Eau Claire, WI 54701-6101 | 2006-07-25 |
| 1407883713 | Mayo Clinic Health System-northwest Wisconsin Region, Inc. | Hospice Care, Community Based | 200 Spring St, Eau Claire, WI 54703-3469 | 2006-06-26 |
| 1427008986 | Mayo Clinic Health System-northwest Wisconsin Region, Inc. | Clinic/Center | 407 21st St Se, Menomonie, WI 54751-2217 | 2006-05-12 |
| 1972552909 | Mayo Clinic Health System-northwest Wisconsin Region, Inc. | Clinic/Center | 3845 London Rd, Eau Claire, WI 54701-7815 | 2006-05-08 |
| 1265969992 | Mayo Clinic Health System-northwest Wisconsin Region, Inc. | Durable Medical Equipment & Medical Supplies | 2409 Stout Rd, Menomonie, WI 54751-2757 | 2017-05-12 |
| 1518494244 | Mayo Clinic Health System-northwest Wisconsin Region, Inc. | Clinic/Center | 1222 E Woodland Ave, Barron, WI 54812-1765 | 2017-05-12 |
| 1700313434 | Mayo Clinic Health System-northwest Wisconsin Region, Inc. | Durable Medical Equipment & Medical Supplies | 2321 Stout Rd, Menomonie, WI 54751-7003 | 2017-05-12 |
| Street Address |
2321 STOUT RD |
| City | MENOMONIE |
| State | WI |
| Zip Code | 54751-7003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669477592 | Jeremy S Forster | Pediatrics | 2321 Stout Rd, Menomonie, WI 54751-7003 | 2005-06-16 |
| 1144853169 | Alicia Lorraine Stearns | Physician Assistant | 2321 Stout Rd, Menomonie, WI 54751-7003 | 2020-02-18 |
| 1528604089 | Jessica Rae Alstead | Physician Assistant | 2321 Stout Rd, Menomonie, WI 54751-7003 | 2019-11-20 |
| 1912558651 | Chiara Teresa Kristina Coll Andahazy | Physician Assistant | 2321 Stout Rd, Menomonie, WI 54751-7003 | 2019-09-24 |
| 1306492707 | Mayo Foundation for Medical Education & Research | Durable Medical Equipment & Medical Supplies | 2321 Stout Rd, Menomonie, WI 54751-7003 | 2019-08-13 |
| 1164913406 | Julie Locke | Nurse Practitioner | 2321 Stout Rd, Menomonie, WI 54751-7003 | 2018-05-22 |
| 1962910737 | Tara Marie Bridgeman | Pharmacist | 2321 Stout Rd, Menomonie, WI 54751 | 2018-01-16 |
| 1124535455 | Rachael Lynn Nellessen | Pharmacist | 2321 Stout Rd, Menomonie, WI 54751-7003 | 2018-01-09 |
| 1881106953 | Briana Kenyon | Speech-Language Pathologist | 2321 Stout Rd, Menomonie, WI 54751-7003 | 2017-10-30 |
| 1518478205 | Jenna Ann Frieburg | Occupational Therapist | 2321 Stout Rd, Menomonie, WI 54751 | 2017-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154840569 | Ashley Friedenfels | Physical Medicine & Rehabilitation | E4486 290th Avenue, Menomonie, WI 54751 | 2017-09-18 |
| 1215307814 | David Calvin Reimann | Hearing Instrument Specialist | E4584 483rd Avenue, Menomonie, WI 54751 | 2015-09-25 |
| 1790128627 | County of Dunn | Skilled Nursing Facility | 651 Howison Circle, Menominie, WI 54751 | 2013-04-10 |
| 1043653983 | County of Dunn | Skilled Nursing Facility | 658 Howison Circle, Menomonie, WI 54751 | 2013-04-10 |
| 1447519236 | Gentle Dental Care LLC | Dentist | 1813 Wilson St., Menomonie, WI 54751 | 2012-05-14 |
| 1386960193 | Kilimanjaro LLC | Non-emergency Medical Transport (VAN) | 1222 14th Ave E, Menomonie, WI 54751 | 2010-04-19 |
| 1275709180 | Dianne Marie Bennett | Counselor | 1916 2nd St W, Menomonie, WI 54751 | 2008-05-01 |
| 1417136201 | David Gary Hackbarth | Chiropractor | 3120 Schneider Ave E, Suite #5, Menomonie, WI 54751 | 2007-10-29 |
| 1306057336 | Tonia D. Behling | Dental Hygienist | 3375 Kothlow Ave., Suite 40, Menomonie, WI 54751 | 2007-05-24 |
| 1295956282 | Danny Roger Wood | Dentist | 1603 Stout Rd, Menomonie, WI 54751 | 2007-05-01 |
| Find all providers in zip 54751 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1710447008 | Afjv Inc | Clinic/Center | 2801 W Kinnickinnic River Pkwy Ste 470, Milwaukee, WI 53215-5211 | 2019-03-22 |
| 1881182889 | Allure Medical of Wisconsin Pllc | Clinic/Center | 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186 | 2018-04-25 |
| 1811412091 | H2o:health Hydration Oasis | Clinic/Center | 17110 W Greenfield Ave Ste 6, Brookfield, WI 53005-6899 | 2017-08-08 |
| 1003336884 | 3d Brows and Wellness LLC | Clinic/Center | 801 Hoffman Rd Ste 106, Green Bay, WI 54301-1462 | 2017-06-22 |
| 1437529120 | Quad/med, LLC | Clinic/Center | W227 N6103 Sussex Rd, Sussex, WI 53089 | 2015-10-07 |
| 1891106092 | Wisconsin Wellness Clinic | Clinic/Center | 280 Regency Ct, Suite 100, Brookfield, WI 53045-6165 | 2014-05-11 |
| 1437317708 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1160 Service Rd, Kiel, WI 53042 | 2008-05-23 |
| 1679731954 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1128 E Parkway Ave, Oshkosh, WI 54901 | 2008-05-23 |
| 1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.