Organization
MAYO CLINIC HEALTH SYSTEM - PHARMACY & HOME MEDICAL, INC
Active
Parent organization
MAYO CLINIC HEALTH SYSTEM - PHARMACY & HOME MEDICAL, INC
Other names
NORTHWEST HEALTH VENTURES INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAYO CLINIC HEALTH SYSTEM - PHARMACY & HOME MEDICAL, INC
Authorized official
JULIE S HANSEN (CFO)
(715) 838-5270
Entity
Organization
Contact information
Practice address
733 W CLAIREMONT AVE, SUITE PHM # 1, EAU CLAIRE, WI 54701-6101
(715) 838-5000
Mailing address
PO BOX 88, EAU CLAIRE, WI 54702-0088
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
7260
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33190700
—
WI
01
—
51 21253
NCPDP
—
Enumeration date
07/31/2006
Last updated
03/07/2023
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