| Mayo Clinic Health System-southwest Wisconsin Region, Inc. | |
|
800 E Blackhawk Ave Prairie Du Chien WI 53821-1698 | |
| (608) 326-0808 | |
| Not Available |
| Full Name | Mayo Clinic Health System-southwest Wisconsin Region, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 800 E Blackhawk Ave, Prairie Du Chien, Wisconsin |
| Authorized Official Name and Position | Mark Bortnem (CHIEF FINANCIAL 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 Minneapolis MN 55486-0056 Ph: () - | Mayo Clinic Health System-southwest Wisconsin Region, Inc. 800 E Blackhawk Ave Prairie Du Chien WI 53821-1698 Ph: (608) 326-0808 |
| NPI Number | 1003453119 |
|---|---|
| Provider Enumeration Date | 12/09/2019 |
| Last Update Date | 08/19/2025 |
| Medicare PECOS PAC ID | 0345152443 |
|---|---|
| Medicare Enrollment ID | O20200325003057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003453119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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