| Mayo Clinic Health System-southwest Wisconsin Region, Inc. | |
|
310 West Main Street Sparta WI 54656 | |
| (608) 269-1770 | |
| (608) 269-1017 |
| Full Name | Mayo Clinic Health System-southwest Wisconsin Region, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 310 West Main Street, Sparta, Wisconsin |
| Authorized Official Name and Position | Mark Bortnem (CHIEF FINANICIAL OFFICER) |
| 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-southwest Wisconsin Region, Inc. Po Box 860056 Attn: Revenue Recognition & Compliance Minneapolis MN 55486-0056 Ph: (608) 791-4156 | Mayo Clinic Health System-southwest Wisconsin Region, Inc. 310 West Main Street Sparta WI 54656 Ph: (608) 269-1770 |
| NPI Number | 1366420788 |
|---|---|
| Provider Enumeration Date | 01/05/2006 |
| Last Update Date | 08/19/2025 |
| Medicare PECOS PAC ID | 0345152443 |
|---|---|
| Medicare Enrollment ID | O20110125000911 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366420788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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