Mayo Clinic Health System-Southwest Wisconsin Region, Inc.

NPI #1275510596 in Sparta, Wisconsin

Provider Information

NPI Number: 1275510596
Entity Type: Organization
Organization Name: Mayo Clinic Health System-Southwest Wisconsin Region, Inc.
Primary Specialty: Medicare Defined Swing Bed Unit
Enumeration Date: Dec 28, 2005
Last Updated: Aug 19, 2025

Practice Location

Address: 310 W MAIN ST
City: Sparta
State: Wisconsin
ZIP Code: 54656-2170
Phone: (608) 268-2132

Authorized Official

Name: MARK BORTNEM
Title: CHIEF FINANICIAL OFFICER
Phone: (715) 838-5270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Medicare Defined Swing Bed Unit	275N00000X	Primary

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