MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION, INC.
NPI 1003453119
Clinic/Center - Rural Health in Prairie Du Chien, WI

NPI Status: Active since December 09, 2019

Contact Information

800 E BLACKHAWK AVE
PRAIRIE DU CHIEN, WI
ZIP 53821
Phone: (608) 326-0808

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  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance
  • CLIA Number: 52D0964982
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 09-13-2026

About MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION, INC.

This page provides the complete NPI Profile along with additional information for Mayo Clinic Health System-southwest Wisconsin Region, Inc., a primary care provider established in Prairie Du Chien, Wisconsin operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1003453119 assigned on December 2019. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated February 2026. The provider's . The authorized official of this NPI record is Adam Smith (Cfo)

NPI
1003453119
Provider Legal Name
MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION, INC.
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
800 E BLACKHAWK AVE PRAIRIE DU CHIEN, WI 53821
Location Phone
(608) 326-0808
Mailing Address
PO BOX 860056 MINNEAPOLIS, MN 55486
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-09-2019
Last Update Date
02-25-2026
Code Navigator

A primary care provider (PCP) like Mayo Clinic Health System-southwest Wisconsin Region, Inc. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
  • Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
  • Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Premier $2,000 - 25% - HMO
  • Premier $3,500 - 30% - HMO
  • Premier $4,000 - 50% - HMO
  • Premier $5,000 HDHP - HMO
  • Premier $6,000 - 40% - HMO
  • Premier $7,500 - HMO
  • Premier $7,500 HDHP - HMO
  • Premier HMO $1,500 - 30% - HMO
  • Premier HMO $2,500 - 20% Copay - HMO
  • Premier HMO $3,400 - 30% HDHP - HMO
  • Premier HMO $3,500 - 30% - HMO
  • Premier HMO $3,500 HDHP - HMO
  • Premier HMO $4,000 - 20% HDHP - HMO
  • Premier HMO $5,000 - 20% HDHP - HMO
  • Premier HMO $5,500 - 40% Copay - HMO
  • Premier HMO $7,500 HDHP - HMO
  • Premier HMO $750 - 10% - HMO
  • Premier HMO $9,500 - HMO
  • Premier POS $1,500 - 30% - POS
  • Premier POS $2,500 - 20% Copay - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ADAM SMITH

Authorized Official Title
CFO
Authorized Official Phone
(715) 838-5275

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
52D0964982
Facility Type
Rural Health Clinic
Certificate Effective Date
September 14, 2024
Certificate Expiration Date
September 13, 2026
Laboratory Director
DR. ANNA M. KEMP
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Mayo Clinic Health System-southwest Wisconsin Region, Inc. on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION, INC.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003453119, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
1
Unchanged
Pos 9
1
Doubled → 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 4 → 8 3 → 6 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 8 + 5 + 6 + 1 + 2 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1003453119.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Counselor (Professional)
800 E BLACKHAWK AVE
PRAIRIE DU CHIEN, WI 53821
Family Medicine
800 E BLACKHAWK AVE
PRAIRIE DU CHIEN, WI 53821
Family Medicine
800 E BLACKHAWK AVE
PRAIRIE DU CHIEN, WI 53821
Social Worker (Clinical)
800 E BLACKHAWK AVE
PRAIRIE DU CHIEN, WI 53821
Family Medicine
800 E BLACKHAWK AVE
PRAIRIE DU CHIEN, WI 53821
Social Worker (Clinical)
800 E BLACKHAWK AVE
PRAIRIE DU CHIEN, WI 53821
Counselor (Mental Health)
800 E BLACKHAWK AVE
PRAIRIE DU CHIEN, WI 53821

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003453119, enumerated as an "organization" on December 09, 2019.

The provider is located at 800 E BLACKHAWK AVE PRAIRIE DU CHIEN, WI 53821 and the phone number is (608) 326-0808.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Security. Please consult your insurance carrier or call the provider to verify.