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MERCY HEALTH SYSTEM CORPORATION NPI 1417073396


NPI Information

NPI: 1417073396
Provider Name: MERCY HEALTH SYSTEM CORPORATION

Doing Business As: MERCY RICHMOND MEDICAL CENTER

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

CLIA Number: 14D0951924

Address:
9715 PRAIRIE RDG
RICHMOND, IL
ZIP 60071
Phone: (815) 678-4528
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MERCY HEALTH SYSTEM CORPORATION is a durable medical equipment medical supplies in Richmond, IL. 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 1417073396. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercy Richmond Medical Center.

The provider's business location address is:

9715 PRAIRIE RDG
RICHMOND, IL
ZIP 60071-112
Phone: (815) 678-4528

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

The CLIA number assigned to this NPI record is 14D0951924 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 1/20/2009.


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 Supplies310800WISCONSINYes

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
114D0951924OTHERCLIA
20903300022MEDICARE NSC
3214660MEDICARE OSCAR/CERTIFICATIONILLINOIS

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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