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MERCY HEALTH SYSTEM CORPORATION NPI 1043341282


NPI Information

NPI: 1043341282
Provider Name: MERCY HEALTH SYSTEM CORPORATION

Doing Business As: MERCY CLINIC SOUTH

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 52D0707850

Address:
849 KELLOGG AVE
JANESVILLE, WI
ZIP 53546
Phone: (608) 755-7960
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MERCY HEALTH SYSTEM CORPORATION is a durable medical equipment medical supplies in Janesville, WI. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MERCY HEALTH SYSTEM CORPORATION NPI is 1043341282. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercy Clinic South.

The provider's business location address is:

849 KELLOGG AVE
JANESVILLE, WI
ZIP 53546-808
Phone: (608) 755-7960

The provider's authorized official is John W Cook .
The authorized official title is Senior Vp/cfo and has the following contact phone number (608) 756-6000.

The CLIA number assigned to this NPI record is 52D0707850 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/8/2007 and was last updated on 2/23/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies310-800WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
152D0707850OTHERCLIA
20903300005MEDICARE NSCWISCONSIN
3000054176MEDICARE OSCAR/CERTIFICATIONWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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