| Organization Name: | MAYO CLINIC HEALTH SYSTEM - EAU CLAIRE HOSPITAL, INC |
| NPI Number: | 1871543355 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAUL M BAMMEL (CFO) |
| Mailing Address: | 1222 E Woodland Ave Barron |
| State: | WI US |
| Postal Code: | 548121765 |
| Phone Number: | 7158385222 |
| Fax Number: | |
| NPI Enumeration Date: | 05/12/2006 |
| NPI Last Update Date: | 06/20/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0700X |
| License Number: | 1990 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
| Taxonomy Definition: | |