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

2310 1St Center Ave
Brodhead, WI 53520-1937

Phone

(608) 897-8664

NPI assigned

Mar 15, 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 identifiers 1

Other names 1

• MERCY BRODHEAD MEDICAL CENTER Doing business as

Locations

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1609900224",
    "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": "2310 1ST CENTER AVE",
            "city": "BRODHEAD",
            "state": "WI",
            "postal_code": "535201937",
            "telephone_number": "608-897-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH SYSTEM CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCYROCKFORD HEALTH SYSTEM CORPORATION",
        "enumeration_date": "2007-03-15",
        "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": "310-800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "52D0892850",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCY BRODHEAD MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew J Kebus, DDS
• Kathleen Kornaus, MS OTR/L
• LJ III Health Management, Inc
• Joseph Mac Alpine, DC
• Travis Malott, D.C.
• Steven L Mischka, FNP
• Lindsay Faith Mohrbacher
• Joseph K Murphy, D.C.
• Corinne Peters
• Stephenie Jean Peterson, RN

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