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 Milton Medical Center

Practice address

725 S Janesville St
Suite 100
Milton, WI 53563-1775

Phone

(608) 868-5800

NPI assigned

Mar 22, 2007

Last updated

Feb 23, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

MERCYROCKFORD HEALTH SYSTEMAs 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 identifiers 1

Other names 1

• MERCY MILTON MEDICAL CENTER Doing business as

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1194841866",
    "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": "725 S JANESVILLE ST",
            "address_2": "SUITE 100",
            "city": "MILTON",
            "state": "WI",
            "postal_code": "535631775",
            "telephone_number": "608-868-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH SYSTEM CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCYROCKFORD HEALTH SYSTEM",
        "enumeration_date": "2007-03-22",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "52D0962851",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCY MILTON MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jayme Nicole Kasting Long, O.D.
• Lauren Renee Loofboro, LPN
• Diana Martingilio, APNP
• Rachel Mildred McKinley, OT
• Mercy Health System Corporation (Milton Pharmacy)
• Milton & Edgerton Vision Centers, LLC (Milton Vision Center)
• Milton Fire Department (Milton & Milton Township Fire Department)
• Cassie Amanda Monday, LPN
• Richard Walter Mullen, RPH
• Whitney Ann Oechsner, FNP-C

• Durable Medical Equipment & Medical Supplies in Milton, WI
• Providers in Milton, 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.