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Mercy Health System Corporation

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

NPI 1154447811 · NPPES record last updated Feb 23, 2016

Key facts

NPI
1154447811
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
License
310800 (WI)
Legal business name
MERCY HEALTH SYSTEM CORPORATION
Practice address
1000 Mineral Point Ave
Room 2-136
Janesville, WI 53548-2940
Phone
(608) 756-6800
NPI assigned
Mar 22, 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

National Provider Directory

Locations

1000 Mineral Point Ave
Rm 2136
Janesville, WI 53548
Phone (608) 754-8275

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 310800 WI Yes

Addresses

Primary practice location

1000 Mineral Point Ave
Room 2-136
Janesville, WI 53548-2940

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
52D0973496OtherCLIA

Other names

  • MERCY CLINIC WEST 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.