Mercy Health System Corporation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

310800 Issued in WI

Legal business name

MERCY HEALTH SYSTEM CORPORATION

Doing business as

Mercy Sports Medicine Whitewater

Practice address

519 W Main St
Whitewater, WI 53190-1852

Phone

(262) 473-0410

NPI assigned

Mar 23, 2007

Organization subpart

Yes

Parent organization

MERCYROCKFORD HEALTH SYSTEM CORPORATIONAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John W Cook

Title

Senior VP/Cfo

Phone

(608) 756-6000

Specialties & licenses 1

Addresses

Other names 1

• MERCY SPORTS MEDICINE WHITEWATER Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1184741183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MINERAL POINT AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535482940",
            "telephone_number": "608-756-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 W MAIN ST",
            "city": "WHITEWATER",
            "state": "WI",
            "postal_code": "531901852",
            "telephone_number": "262-473-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH SYSTEM CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCYROCKFORD HEALTH SYSTEM CORPORATION",
        "enumeration_date": "2007-03-23",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SENIOR VP/CFO",
        "authorized_official_telephone_number": "608-756-6000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": "310800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCY SPORTS MEDICINE WHITEWATER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grant McCullough, PHARMD, RPH
• Robert McCullough, RPH
• Courtney Jane McGee, PHARMD
• Geraldine Louise McGrorty Buchholz I, REGISTERED NURSE
• Marsha Lee McKinnon, RN
• Mercy Health System Corporation (Mercy Whitewater Medical Center)
• Mercy Health System Corporation (Mercy RHC Whitewater)
• Halle Merritt, DMD
• Melissa Kaye Miller, AGPCNP-BC
• Mindful Psychotherapy Services LLC

• Durable Medical Equipment & Medical Supplies in Whitewater, WI
• Providers in Whitewater, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.