Mayo Clinic Health System - Pharmacy & Home Medical Inc

Key facts

NPI

1912911561

Entity type

Organization (NPI type 2)

Primary specialty

Durable Medical Equipment & Medical Supplies 332B00000X

License

7330 (WI)

Legal business name

MAYO CLINIC HEALTH SYSTEM - PHARMACY & HOME MEDICAL INC

Practice address

13025 8TH St
Suite PHM # 1
Osseo, WI 54758-7634

Phone

(715) 597-3166

NPI assigned

Jul 28, 2006

Organization subpart

Yes

Parent organization (as reported)

MAYO CLINIC HEALTH SYSTEM - PHARMACY & HOME MEDICAL INC

Authorized official

Name

Julie S Hansen

Title

Cfo

Phone

(715) 838-5270

National Provider Directory

Part of

Mayo Clinic Health System - Pharmacy Home Medical Inc

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• NORTHWEST HEALTH VENTURES INC Former legal business name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 7, 2023.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1912911561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547020088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13025 8TH ST",
            "address_2": "SUITE PHM # 1",
            "city": "OSSEO",
            "state": "WI",
            "postal_code": "547587634",
            "telephone_number": "715-597-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYO CLINIC HEALTH SYSTEM - PHARMACY & HOME MEDICAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAYO CLINIC HEALTH SYSTEM - PHARMACY & HOME MEDICAL INC",
        "enumeration_date": "2006-07-28",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "715-838-5270"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": "7330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "51 21645",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33194100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHWEST HEALTH VENTURES INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Osseo, WI

• Sara Rhiannon Magerowski, APNP
• Seidu Joamanche Mahama
• Hariprasath Mahaswaran, M.D.
• Marshfield Clinic
• Daniel Matzek
• Mayo Clinic Health System-Northwest Wisconsin Region, Inc.
• Mayo Clinic Health System-Northwest Wisconsin Region, Inc.
• Mayo Clinic Health System-Northwest Wisconsin Region, Inc.
• Mayo Clinic Health System-Northwest Wisconsin Region, Inc.
• Mayo Clinic Health System-Northwest Wisconsin Region, Inc.

All providers in Osseo, WI · Durable Medical Equipment & Medical Supplies in Wisconsin