Organization Name: | MAYO CLINIC HEALTH SYSTEM - FRANCISCAN MEDICAL CENTER, INC. |
NPI Number: | 1043460769 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS TIGGELAAR (VICE PRESIDENT FINANCIAL SERVICES) |
Mailing Address: | 121 S Prairie St Prairie Du Chien |
State: | WI US |
Postal Code: | 538211418 |
Phone Number: | 6083268424 |
Fax Number: | 6083268638 |
NPI Enumeration Date: | 09/30/2008 |
NPI Last Update Date: | 07/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 324500000X |
License Number: | 1362 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Substance Abuse Rehabilitation Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |