Organization Name: | MAYO CLINIC HEALTH SYSTEM - NORTHLAND, INC. |
NPI Number: | 1326079740 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL BAMMEL (CFO) |
Mailing Address: | 1222 E Woodland Ave Barron |
State: | WI US |
Postal Code: | 548121765 |
Phone Number: | 7158385222 |
Fax Number: | |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 08/31/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 275N00000X |
License Number: | 1018 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Hospital Units |
Taxonomy Classification: | Medicare Defined Swing Bed Unit |
Taxonomy Specialization: | |
Taxonomy Definition: | A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |