Mercy Health System Corporation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

310-800 Issued in WI

Legal business name

MERCY HEALTH SYSTEM CORPORATION

Practice address

300 Union St
Evansville, WI 53536-1175

Phone

(608) 882-5613

NPI assigned

Mar 13, 2007

Organization subpart

Yes

Parent organization

MERCY ALLIANCE INCAs 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

VP Cfo

Phone

(608) 756-6000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MERCY EVANSVILLE MEDICAL CENTER Doing business as

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1376676189",
    "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": "300 UNION ST",
            "city": "EVANSVILLE",
            "state": "WI",
            "postal_code": "535361175",
            "telephone_number": "608-882-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH SYSTEM CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY ALLIANCE INC",
        "enumeration_date": "2007-03-13",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "VP CFO",
        "authorized_official_telephone_number": "608-756-6000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": "310-800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "52D0683329",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCY EVANSVILLE MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Mael
• Marisol McElroy Lopez, LMFT
• Julie A McLaughlin, MS, RD, CD
• MD Group LLC
• Mercy Dental Evansville LLC
• MH Health Care Services, PC
• Mo'S Caring Hands
• Brenda Muth, NP
• Caitlyn Myers, PT, DPT
• Kelly Kay Noltner, MA CCC-SLP

• All providers in Evansville, WI
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.