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Mercy Health System Corporation

Organization Active NPI Chronic Disease Hospital · Janesville, WI

NPI 1164588679 · NPPES record last updated Jun 11, 2025

Key facts

NPI
1164588679
Entity type
Organization (NPI type 2)
Primary specialty
Chronic Disease Hospital 281P00000X
Legal business name
MERCY HEALTH SYSTEM CORPORATION
Practice address
1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone
(086) 741-3814
Fax
(608) 741-3816
NPI assigned
Dec 29, 2006
Organization subpart
Yes
Parent organization (as reported)
MERCY HEALTH CORPORATION

Authorized official

Name
Joseph D Malas
Title
Cfo
Phone
(815) 971-6738

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 15

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 749

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 749

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare Care Compare: Dialysis facility

Listed as
Mercyhealth Kidney Care and Dialysis Center CCN 522329
Overall star rating
★☆☆☆☆ 1.0 of 5
Ownership
Non-profit
Certified
Nov 8, 1999
Medicare certification status
Active (Provider of Services file)
Dialysis stations
22

Source: Medicare Care Compare. Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20120213000459 WI Part a Provider - End-Stage Renal Disease Facility (ESRD) 7416860440 Practice locations: Janesville, WI

National Provider Directory

Tax ID family
Genesis Counseling SVC (16 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
Chronic Disease Hospital 281P00000X Yes

Addresses

Primary practice location

1000 Mineral Point Ave
Janesville, WI 53548-2940

Mailing address

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

Other practice location 1

903 Mineral Point Ave
Janesville, WI 53548-2970
Phone (608) 741-3814

Other identifiers

IdentifierTypeStateIssuer
42056300MedicaidWI

Other names

  • MERCY REGIONAL DIALYSIS CENTER Doing business as
  • Mercyhealth Kidney Care and Dialysis Center Doing business as

Other providers in Janesville, WI

All providers in Janesville, WI · Chronic Disease Hospital in Wisconsin

Sources for this page

Verify at the official NPI Registry.