Mayo Clinic Health System-Southwest Wisconsin Region, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION, INC.

Doing business as

Franciscan Healthcare - Hospice

Practice address

700 West Ave S
La Crosse, WI 54601-4783

Phone

(608) 392-9790

NPI assigned

Jan 5, 2006

Last updated

Aug 15, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Bortnem

Title

Chief Finanicial Officer

Phone

(715) 838-5270

Specialties & licenses 1

Addresses

Other names 2

• Franciscan Healthcare - Hospice Doing business as
• Mayo Clinic Health System-Franciscan Medical Center, Inc. Former legal business name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• STCH SW Wi Opco LLC

  dba St Croix Hospice

  • Community Based Hospice Care Agency
  • La Crosse, WI
  • NPI 1962388736

  Sold to, 2025-09-01

  CMS change of ownership

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1275511693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860056",
            "address_2": "ATTN: REVENUE RECOGNITION & COMPLIANCE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554860056",
            "telephone_number": "608-791-4156",
            "fax_number": "608-392-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WEST AVE S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014783",
            "telephone_number": "608-392-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-05",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "BORTNEM",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF FINANICIAL OFFICER",
        "authorized_official_telephone_number": "715-838-5270"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd SteB",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Franciscan Healthcare - Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Franciscan Healthcare - Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mayo Clinic Health System-Franciscan Medical Center, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Alicia Emily Mattson, PHARM D
• Dyllan May, DDS
• Havala Mayer
• Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (Mayo Clinic Health System Skemp Pharmacy)
• Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (Mayo Clinic Health System La Crosse Hospital Pharmacy)
• Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (Mayo Clinic Health System - La Crosse)
• Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (Franciscan Healthcare - La Crosse)
• Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (Mayo Clinic Health System - La Crosse)
• Mayo Foundation for Medical Education & Research (Mayo Clinic Store - La Crosse)
• Jodi J MC Sherry, COTA

• Community Based Hospice Care Agency in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Community Based Hospice Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.