MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC. (NPI# 1427008986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427008986 |
| Entity Type | Organization |
| Organization Name | MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC. |
| Other Organization Name | MAYO CLINIC DIALYSIS-MENOMONIE |
| Practice Address |
407 21st St Se Menomonie WI 54751-2217 |
| Mailing Address |
1221 Whipple St Eau Claire WI 54703-5270 |
| Practice Telephone | 7158385270 |
| Mailing Telephone | 7158385270 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2016-09-08 |
| Authorized Official Name | JULIE S. HANSEN (CFO) |
| Authorized Official Telephone | 7158385270 |
| Is Organization Subpart | Y |
| Parent Organization Name | MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
1990 | WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42064000 | 05 | |
| WI | 11011800 | 05 |
| Other Name | Type Code |
|---|---|
| MAYO CLINIC DIALYSIS-MENOMONIE | Other Name - Individual/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 |
| 1972552909 | Mayo Clinic Health System-northwest Wisconsin Region, Inc. | Clinic/Center | 3845 London Rd, Eau Claire, WI 54701-7815 | 2006-05-08 |
| 1235666967 | Mayo Clinic Health System-northwest Wisconsin Region, Inc. | Clinic/Center | 2321 Stout Rd, Menomonie, WI 54751-7003 | 2017-05-12 |
| 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 |
407 21ST ST SE |
| City | MENOMONIE |
| State | WI |
| Zip Code | 54751-2217 |
| 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 | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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|---|---|---|---|---|
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| 1316570989 | Fresenius Medical Care Midwest Dialysis, LLC | Clinic/Center | 5125 W Morgan Ave, Greenfield, WI 53220-1540 | 2020-02-21 |
| 1992352082 | Fresenius Kidney Care Madison, LLC | Clinic/Center | 4600 American Pkwy Ste 102, Madison, WI 53718-8334 | 2019-08-22 |
| 1770040859 | Fresenius Medical Care Oshkosh, LLC | Clinic/Center | 2700 W 9th Ave Ste 101a, Oshkosh, WI 54904-7201 | 2019-02-26 |
| 1972008704 | Midwest Legacy Capital LLC | Clinic/Center | W4233 State Rd 54, Black Creek, WI 54106-8633 | 2018-03-26 |
| 1841792603 | Wisconsin Renal Care Group, L.L.C. | Clinic/Center | 17500 W Capitol Drive, Brookfield, WI 53045 | 2018-03-07 |
| 1992212286 | Total Renal Care Inc | Clinic/Center | 733 E Capitol Dr, Milwaukee, WI 53212 | 2018-01-08 |
| 1023527058 | Bio-medical Applications of Wisconsin, Inc. | Clinic/Center | 2831 Okeeffe Ave, Sun Prairie, WI 53590-7057 | 2017-09-21 |
| 1093234569 | Fresenius Medical Care Milwaukee, LLC | Clinic/Center | 2615 W Silver Spring Dr, Milwaukee, WI 53209-4219 | 2017-09-15 |
| 1770010928 | Total Renal Care Inc | Clinic/Center | 9127 N 76th St, Milwaukee, WI 53223-1905 | 2017-05-18 |
| 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.