| Organization Name: | MAYO CLINIC HEALTH SYSTEM - CHIPPEWA VALLEY, INC |
| NPI Number: | 1700837812 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAUL M BAMMEL (CFO) |
| Mailing Address: | 1501 Thompson St Bloomer |
| State: | WI US |
| Postal Code: | 547241257 |
| Phone Number: | 7158385222 |
| Fax Number: | |
| NPI Enumeration Date: | 05/13/2006 |
| NPI Last Update Date: | 06/20/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |