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Mercy Health System Corporation

Organization Active NPI Durable Medical Equipment & Medical Supplies · Janesville, WI

NPI 1043341282 · NPPES record last updated Feb 23, 2016

Key facts

NPI
1043341282
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
License
310-800 (WI)
Legal business name
MERCY HEALTH SYSTEM CORPORATION
Practice address
849 Kellogg Ave
Janesville, WI 53546-2808
Phone
(608) 755-7960
NPI assigned
Mar 8, 2007
Organization subpart
Yes
Parent organization (as reported)
MERCYROCKFORD HEALTH SYSTEM CORPORATION

Authorized official

Name
John W Cook
Title
Senior VP/Cfo
Phone
(608) 756-6000

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0707850Mercy Clinic South
849 Kellogg Avenue, Janesville, WI 53546		Provider-performed microscopyNov 30, 2027

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 310-800 WI Yes

Addresses

Primary practice location

849 Kellogg Ave
Janesville, WI 53546-2808

Mailing address

1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone (608) 756-6000

Other identifiers

IdentifierTypeStateIssuer
52D0707850OtherCLIA

Other names

  • MERCY CLINIC SOUTH Doing business as

Other providers in Janesville, WI

All providers in Janesville, WI · Durable Medical Equipment & Medical Supplies in Wisconsin

Sources for this page

Verify at the official NPI Registry.