NPIMap

Mayo Clinic Health System-Northwest Wisconsin Region, Inc.

Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Eau Claire, WI

NPI 1972552909 · NPPES record last updated Apr 15, 2026

Key facts

NPI
1972552909
Entity type
Organization (NPI type 2)
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
License
1990 (WI)
Legal business name
MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC.
Practice address
3845 London Rd
Eau Claire, WI 54701-7815
Phone
(715) 838-5270
NPI assigned
May 8, 2006
Organization subpart
No

Authorized official

Name
Adam Smith
Title
Cfo
Phone
(715) 838-5275

Other NPIs with the same Medicare PAC ID 20

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

Corporate family (same tax ID) 24

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

Practitioners 803

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 803

Affiliated clinicians 5

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

Medicare Care Compare: Dialysis facility

Listed as
Mayo Clinic Dialysis - London Road CCN 523522
Overall star rating
★★★☆☆ 3.0 of 5
Ownership
Non-profit
Certified
Jun 24, 2003
Medicare certification status
Active (Provider of Services file)
Chain
Mayo Clinic Dialysis
Dialysis stations
24

Source: Medicare Care Compare. Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D1092942Mayo Clinic Health System
3845 London Rd, Eau Claire, WI 54701		Certificate of waiverDec 7, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20030317000001 WI Part a Provider - End-Stage Renal Disease Facility (ESRD) 4385553627 Practice locations: Eau Claire, WI

National Provider Directory

Tax ID family
Mayo Clinic Health System-Northwest Wisconsin Region Inc (25 organizations share this tax ID)
Part of
Mayo Clinic Health System-Northwest Wisconsin Region Inc

Locations

8881 Fletcher Pkwy
Ste 250A
La Mesa, CA 91942
Phone (619) 229-2626

1300 N Vermont Ave
Ste 407
Los Angeles, CA 90027
Phone (323) 627-4874

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 1990 WI Yes

Addresses

Primary practice location

3845 London Rd
Eau Claire, WI 54701-7815

Mailing address

1221 Whipple St
Eau Claire, WI 54703-5270
Phone (715) 838-5270

Other identifiers

IdentifierTypeStateIssuer
11011800MedicaidWI
42064100MedicaidWI

Other names

  • MAYO CLINIC DIALYSIS-LONDON ROAD Other name

Electronic endpoints

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

Other providers in Eau Claire, WI

All providers in Eau Claire, WI · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Wisconsin

Sources for this page

Verify at the official NPI Registry.