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

348 S Division St
Harvard, IL 60033-3247

Phone

(815) 943-1122

NPI assigned

Feb 22, 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 HARVARD CLINIC SOUTH Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1396870481",
    "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": "348 S DIVISION ST",
            "city": "HARVARD",
            "state": "IL",
            "postal_code": "600333247",
            "telephone_number": "815-943-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH SYSTEM CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY ALLIANCE INC",
        "enumeration_date": "2007-02-22",
        "last_updated": "2010-06-15",
        "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": "14D0917808",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCY HARVARD CLINIC SOUTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• McLean Foot Clinic,P.C.
• Mercy Assisted Care, Inc
• Mercy Harvard Hospital Inc
• Mercy Harvard Hospital Inc
• Mercy Health System Corporation
• Michael J. Krol D.D.S. P.C.
• John E Minalt, DDS
• Eric Vincent T Miranda, PT
• Michele K Moore, OT
• Morgen M Kaiser DDS PC

• Durable Medical Equipment & Medical Supplies in Harvard, IL
• Providers in Harvard, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.