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MAYO CLINIC HEALTH SYSTEM - PHARMACY & HOME MEDICAL INC NPI 1033125422


NPI Information

NPI: 1033125422
Provider Name: MAYO CLINIC HEALTH SYSTEM - PHARMACY & HOME MEDICAL, INC

Former Legal Business Name: NORTHWEST HEALTH VENTURES INC

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
733 W CLAIREMONT AVE
SUITE PHM # 1
EAU CLAIRE, WI
ZIP 54701
Phone: (715) 838-5000
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MAYO CLINIC HEALTH SYSTEM - PHARMACY & HOME MEDICAL, INC is a durable medical equipment medical supplies in Eau Claire, WI. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MAYO CLINIC HEALTH SYSTEM - PHARMACY & HOME MEDICAL, INC NPI is 1033125422. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Northwest Health Ventures Inc.

The provider's business location address is:

733 W CLAIREMONT AVE
SUITE PHM # 1
EAU CLAIRE, WI
ZIP 54701-101
Phone: (715) 838-5000

The provider's authorized official is Julie S Hansen .
The authorized official title is Cfo and has the following contact phone number (715) 838-5270.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies7260WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
133190700MEDICAIDWISCONSIN
251 21253OTHERNCPDP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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