MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC.
NPI 1639109176
Medicare Defined Swing Bed Unit in Bloomer, WI

Q: What is Mayo Clinic Health System-Northwest Wisconsin Region, Inc.'s specialty?

The primary specialty registered for this NPI is Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

Active since July 03, 2006

1501 THOMPSON ST, BLOOMER, WI 54724(715) 568-2000 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2026, Aug 15, 2025, Nov 15, 2017 (3 updates tracked since 2017).

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About Mayo Clinic Health System-northwest Wisconsin Region, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC. (NPI 1639109176), doing business as Mayo Clinic Health System-chippewa Valley, Inc., is a healthcare organization registered as a medicare defined swing bed unit in Bloomer, Wisconsin and active in the NPI registry since July 2006. The organization lists Adam Smith, Cfo, as its authorized official.

NPPES Registry Identity

NPI1639109176

Entity TypeOrganization

Primary Taxonomy275N00000X

Legal Business NameMAYO CLINIC HEALTH SYSTEM-NORTHWEST WISCONSIN REGION, INC.

Location Address1501 THOMPSON STBloomer, WI 54724-1257

Mailing Address1501 Thompson StBloomer, WI 54724-1257 · (715) 568-2000

Phone(715) 568-2000

Organization SubpartNo

Authorized OfficialAdam SmithCfo · (715) 838-5275

Enumeration DateJuly 3, 2006

Last NPPES UpdateApril 15, 20263 updates tracked since enumeration

NPPES CertifiedApril 15, 2026

✔ NPI 1639109176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedicare Defined Swing Bed UnitHospital Units

Taxonomy Code275N00000X

License✔ Licensed in WI · 1017

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.

1501 THOMPSON ST, Bloomer, WI 54724

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Other Names 1

Doing Business AsMayo Clinic Health System-chippewa Valley, Inc.

Other Identifiers 1

Medicaid11018500WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTEN RIBBENS BRUXVOORT MD

Family Medicine