| Organization Name: | MAYO CLINIC HEALTH SYSTEM - FRANCISCAN MEDICAL CENTER, INC. |
| NPI Number: | 1629056049 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS TIGGELAAR (VICE PRESIDENT - CFO) |
| Mailing Address: | 800 West Avenue South Lacrosse |
| State: | WI US |
| Postal Code: | 54601 |
| Phone Number: | 6083923861 |
| Fax Number: | 6083929518 |
| NPI Enumeration Date: | 01/05/2006 |
| NPI Last Update Date: | 08/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |