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Mercy Health System Corporation

Organization Active NPI Durable Medical Equipment & Medical Supplies · Janesville, WI

NPI 1487924593 · NPPES record last updated Jan 5, 2012

Key facts

NPI
1487924593
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
License
310-800 (WI)
Legal business name
MERCY HEALTH SYSTEM CORPORATION
Practice address
3400 Deerfield Drive
Janesville, WI 53546-3557
Phone
(608) 314-3660
Fax
(608) 314-3661
NPI assigned
Jan 5, 2012
Organization subpart
Yes
Parent organization (as reported)
MERCY ALLIANCE INC

Authorized official

Name
John W Cook
Title
VP/Cfo
Phone
(608) 756-6000

National Provider Directory

Locations

3400 Deerfield Dr
Janesville, WI 53546
Phone (608) 314-3600

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 310-800 WI Yes

Addresses

Primary practice location

3400 Deerfield Drive
Janesville, WI 53546-3557

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
52D02033323OtherWICLIA

Other names

  • MERCY CLINIC NORTH Doing business as

Other providers in Janesville, WI

All providers in Janesville, WI · Durable Medical Equipment & Medical Supplies in Wisconsin

Sources for this page

Verify at the official NPI Registry.