Mayo Clinic Hospital-Rochester
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Onalaska, WI
NPI 1073589263 · NPPES record last updated Aug 18, 2025
Key facts
- NPI
- 1073589263
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- License
- 324083 (MN)
- Legal business name
- MAYO CLINIC HOSPITAL-ROCHESTER
- Practice address
- 191 Theatre Rd
Onalaska, WI 54650-8679 - Phone
- (608) 392-5011
- NPI assigned
- Feb 27, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- MAYO CLINIC HOSPITAL-ROCHESTER
Authorized official
- Name
- Mr. Dennis Dahlen
- Title
- Chief Financial Officer
- Phone
- (507) 538-3389
Other NPIs with the same Medicare PAC ID 11
Corporate family (same tax ID) 14
Member of 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131015000000 | WI | Part a Provider - End-Stage Renal Disease Facility (ESRD) | 2860572575 | Practice locations: Onalaska, WI |
National Provider Directory
- Tax ID family
- St Marys Hospital Pharm
- Part of
- St Marys Hospital Pharm
Locations
714 J Clyde Morris Blvd
Newport News, VA 23601
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 324083 | MN | Yes |
Addresses
Primary practice location
191 Theatre Rd
Onalaska, WI 54650-8679
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-1937
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
| Other URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Other providers in Onalaska, WI
- Kelsey Ann Martin
- Rebecca Lynn Mattie
- Adam David Matz
- Steven Allen Mayer
- Mayo Clinic Health System-Southwest Wisconsin Region, Inc.
- Mayo Foundation for Medical Education & Research
- Donna McBride
- Kathryn E McCabe
- April Marie McClish
- Michael R McCormick
All providers in Onalaska, WI · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.