| Mayo Clinic Health System-northwest Wisconsin Region, Inc. | |
|
700 Buffalo St Mondovi WI 54755-1371 | |
| (715) 926-4858 | |
| Not Available |
| Full Name | Mayo Clinic Health System-northwest Wisconsin Region, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 700 Buffalo St, Mondovi, Wisconsin |
| Authorized Official Name and Position | Julie Schaus Hansen (CFO) |
| Authorized Official Contact | 7158385270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mayo Clinic Health System-northwest Wisconsin Region, Inc. Po Box 860081 Minneapolis MN 55486-0081 Ph: () - | Mayo Clinic Health System-northwest Wisconsin Region, Inc. 700 Buffalo St Mondovi WI 54755-1371 Ph: (715) 926-4858 |
| NPI Number | 1174116669 |
|---|---|
| Provider Enumeration Date | 02/16/2021 |
| Last Update Date | 02/16/2021 |
| Medicare PECOS PAC ID | 4385553627 |
|---|---|
| Medicare Enrollment ID | O20210304002018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174116669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Emplify Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 State Road 37, Mondovi, WI 54755 Phone: 715-538-4361 |