NPIMap

Organization Active NPI

Mayo Clinic Health System-Southwest Wisconsin Region, Inc.

Doing business as Franciscan Healthcare - Sparta

  • Critical Access Hospital
  • Sparta, WI
National Provider Identifier
1841278637
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
1009 Issued in WI
Legal business name
MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION, INC.
Doing business as
Franciscan Healthcare - Sparta
Mayo Clinic Health System - Sparta
Practice address
310 W Main St
Sparta, WI 54656-2170
Phone
(608) 269-2132
Fax
(608) 269-4562
NPI assigned
Jan 3, 2006
Last updated
Aug 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 1009 WI Primary
Clinical Medical Laboratory 291U00000X NU

Addresses

Primary practice location

310 W Main St
Sparta, WI 54656-2170

Mailing address

PO Box 860056
Attn: Revenue Recognition & Compliance
Minneapolis, MN 55486-0056
Phone (608) 392-4156

Other names 2

  • Franciscan Healthcare - Sparta Doing business as
  • Mayo Clinic Health System - Sparta Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100506000523 WI Part A Provider - Critical Access Hospital 0345152443 Receives reassigned benefits from 322 practitioners
1 other NPI on this enrollment
Practice locations: Sparta, WI; Arcadia, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841278637. Details of each certification follow.

Hospital certification: CCN 521305

Legal name
MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION INC
Doing business as
MAYO CLINIC HEALTH SYSTEM - SPARTA
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Apr 20, 2000
Last certification
Apr 21, 2000
Beds
25
Ownership / control type
Church
Most recent change of ownership
Jan 1, 2018 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Jul 26, 1883 in WI
Enrollment address
310 W Main St
Sparta, WI 54656-2170

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Mayo Clinic HLTH Systm Franciscan Hlthcare SpartaCCN 521305 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Waukon Family Practice5 organizations share this tax ID, including this one
Part of
Waukon Family Practice

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Matthew J Olmstead Individual Corporate DirectorBoard Member Jan 1, 2025
Paul Molling Individual Corporate DirectorBoard Member Mar 11, 2026
Franklin K Ackerman Individual Corporate OfficerSecretary Jan 1, 2025
Jason Beckermann Individual Corporate DirectorBoard Member Jan 1, 2025
Matthew Wesley Tradewell Individual W-2 Managing EmployeeVice Chair Feb 1, 2024
Timothy J Young Individual Corporate DirectorBoard Member Jan 1, 2025
Richard a Helmers Individual Corporate OfficerCeo & Chair Mar 16, 2024
Corporate DirectorBoard Member Mar 16, 2024
Tanner T Holst Individual Corporate DirectorBoard Member Sep 28, 2022
W-2 Managing EmployeeRegional Chair Jan 1, 2020
Lisa Gillette Individual Corporate DirectorBoard Member May 1, 2026
Charles W Nordstrom Individual Corporate DirectorBoard Member Jan 1, 2025
Kevin M Fitzgerald Individual Corporate DirectorBoard Member Jan 1, 2025
Gurpreet Singh Individual Corporate DirectorBoard Member Jan 1, 2025
Robert J Wiechmann Individual Corporate DirectorBoard Member Jan 1, 2025
Mayo Clinic Organization, Rochester, MN Non-profit Operational/Managerial Control Jan 1, 2010
Adam W Smith Individual Corporate OfficerCfo & Treasurer Jan 19, 2026
Corporate DirectorBoard Member Jan 19, 2026
Kelly M Buchholtz Individual Corporate DirectorBoard Member Jan 1, 2025
Janel N Glantz Individual Corporate DirectorBoard Member Jan 1, 2025
Gianrico Farrugia Individual OtherChain Home Office Ceo Jan 1, 2019

Owners & managing parties with NPI records 16

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 16

Facilities with the same owner 38

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 38

Practitioners & affiliated clinicians

Practitioners 327

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 327

Affiliated clinicians 246

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 246

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1841278637",
    "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": "608-392-4156",
            "fax_number": "608-392-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W MAIN ST",
            "city": "SPARTA",
            "state": "WI",
            "postal_code": "546562170",
            "telephone_number": "608-269-2132",
            "fax_number": "608-269-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-03",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "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": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "WI",
            "license": "1009",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 - Sparta",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mayo Clinic Health System - Sparta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sparta, WI

Sources for this page

Verify at the official NPI Registry.