MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC. (NPI# 1548796444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548796444 |
| Entity Type | Organization |
| Organization Name | MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC. |
| Other Organization Name | MAYO CLINIC HEALTH SYSTEM-CHIPPEWA VALLEY |
| Practice Address |
1501 Thompson St Bloomer WI 54724-1257 |
| Practice Telephone | 7155662000 |
| Mailing Telephone | 7155662000 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| 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-Chippewa Valley | 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 |
| 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 |
| Street Address |
1501 THOMPSON ST |
| City | BLOOMER |
| State | WI |
| Zip Code | 54724-1257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427058122 | Ronald J Reimer | Physician Assistant | 1501 Thompson St, Bloomer, WI 54724 | 2005-07-26 |
| 1528627320 | Abbigail Ristow | Physical Therapist | 1501 Thompson St, Bloomer, WI 54724-1257 | 2019-06-06 |
| 1952867426 | Jaclyn Kay Kron | Occupational Therapist | 1501 Thompson St, Bloomer, WI 54724-1257 | 2019-02-20 |
| 1386121598 | Benjamin Michael Hierlmeier | Pharmacist | 1501 Thompson St, Bloomer, WI 54724-1257 | 2018-07-20 |
| 1134630635 | Christopher Ryan Thewis | Physical Therapist | 1501 Thompson St, Bloomer, WI 54724-1257 | 2017-10-24 |
| 1851827752 | Kimberly Carol Nicolai | Physical Therapist | 1501 Thompson St, Bloomer, WI 54724 | 2017-05-11 |
| 1598299331 | Brandy Clarice Zimmerman | Nurse Practitioner | 1501 Thompson St, Bloomer, WI 54724-1257 | 2017-04-19 |
| 1184007403 | Autumn Schlichting | Speech-Language Pathologist | 1501 Thompson St, Bloomer, WI 54724-1257 | 2015-07-06 |
| 1245620475 | Bloomer Healthcare, LLC | Skilled Nursing Facility | 1501 Thompson St, Bloomer, WI 54724-1257 | 2015-01-26 |
| 1710304738 | Janelle Dahlka | Occupational Therapist | 1501 Thompson St, Bloomer, WI 54724-1257 | 2014-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093064545 | Robin Lachance | Physical Therapy Assistant | 1731 17th Avenue, Bloomer, WI 54724 | 2012-08-30 |
| 1104051614 | Nancy L Stiehm | Home Health Aide | 721 Priddy St, Bloomer, WI 54724 | 2009-05-28 |
| 1508013566 | Dianne Marie Goettl | Reflexologist | 1610 Main Street, Bloomer, WI 54724 | 2008-08-21 |
| 1609956481 | Timothy John Peterson | Chiropractor | 10135 Hwy Ss, Bloomer, WI 54724 | 2006-10-16 |
| 1982773867 | Peterson Chiropractic Clinic Ltd | Chiropractor | 10135 Hwy Ss, Bloomer, WI 54724 | 2006-11-07 |
| 1063592848 | Ronald Daniel Peterson | Chiropractor | 10135 Hwy Ss, Bloomer, WI 54724 | 2006-10-16 |
| 1578528113 | Elena A Stringer | Family Medicine | 1711 York St, Bloomer, WI 54724 | 2006-04-18 |
| 1144209222 | Albert Wankel | Surgery | 1503 Thompson St, Bloomer, WI 54724-1257 | 2006-01-17 |
| 1477533008 | Desiree Phillips | Physician Assistant | 1503 Thompson St, Bloomer, WI 54724-1257 | 2006-01-19 |
| 1952380032 | Richard E Gladitsch | Family Medicine | 1503 Thompson St, Bloomer, WI 54724-1257 | 2006-01-17 |
| Find all providers in zip 54724 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882693 | My Health Clinic | Clinic/Center | 6300 N 76th St, Milwaukee, WI 53218-1208 | 2019-10-08 |
| 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.