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MAYO CLINIC HEALTH SYSTEM - PHARMACY & HOME MEDICAL INC NPI 1912911561


NPI Information

NPI: 1912911561
Provider Name: MAYO CLINIC HEALTH SYSTEM - PHARMACY & HOME MEDICAL INC

Former Legal Business Name: NORTHWEST HEALTH VENTURES INC

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
13025 8TH ST
SUITE PHM # 1
OSSEO, WI
ZIP 54758
Phone: (715) 597-3166
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MAYO CLINIC HEALTH SYSTEM - PHARMACY & HOME MEDICAL INC is a durable medical equipment medical supplies in Osseo, WI. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MAYO CLINIC HEALTH SYSTEM - PHARMACY & HOME MEDICAL INC NPI is 1912911561. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Northwest Health Ventures Inc.

The provider's business location address is:

13025 8TH ST
SUITE PHM # 1
OSSEO, WI
ZIP 54758-634
Phone: (715) 597-3166

The provider's authorized official is Julie S Hansen .
The authorized official title is Cfo and has the following contact phone number (715) 838-5270.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies7330WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
151 21645OTHERNCPDP
233194100MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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