Active NPI
Mayo Clinic Health System-Southwest Wisconsin Region, Inc.
- Community/Retail Pharmacy
- Holmen, WI
National Provider Identifier
1356576896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION, INC.
- Doing business as
- MCHS Holmen pharmacy
- Practice address
- 1303 S Main St
Holmen, WI 54636-8927 - Phone
- (608) 526-1566
- Fax
- (608) 526-1554
- NPI assigned
- May 28, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adam Smith
- Title
- Cfo
- Phone
- (715) 838-5275
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 893042 | WI | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1303 S Main St
Holmen, WI 54636-8927
Mailing address
PO Box 860568
Minneapolis, MN 55486-0524
Phone (608) 392-3988
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2120399 | Other | PK |
Other names 3
- MCHS Holmen pharmacy
- Franciscan Skemp Medical Center Inc
- Mayo Clinic Health System-Franciscan Medical Center, Inc.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D0396397 | Mayo Clinic Health System in Holmen | Accreditation | Sep 13, 2026 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771977600000",
"number": "1356576896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 860568",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554860524",
"telephone_number": "608-392-3988",
"fax_number": "608-392-9180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 S MAIN ST",
"city": "HOLMEN",
"state": "WI",
"postal_code": "546368927",
"telephone_number": "608-526-1566",
"fax_number": "608-526-1554"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-28",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "ADAM",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "715-838-5275"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "WI",
"license": "893042",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2120399",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MCHS Holmen pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Franciscan Skemp Medical Center Inc",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Franciscan Skemp Medical Center Inc",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Mayo Clinic Health System-Franciscan Medical Center, Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Holmen, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.