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MERCY HEALTH SYSTEM CORPORATION NPI 1598718603


NPI Information

NPI: 1598718603
Provider Name: MERCY HEALTH SYSTEM CORPORATION

Doing Business As: MHS PHYSICIAN SERVICES

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
580 N WASHINGTON ST
JANESVILLE, WI
ZIP 53548
Phone: (608) 741-7630
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MERCY HEALTH SYSTEM CORPORATION is a clinic center in Janesville, WI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MERCY HEALTH SYSTEM CORPORATION NPI is 1598718603. The provider is registered as an organization entity type.
The provider Is Doing Business As Mhs Physician Services.

The provider's business location address is:

580 N WASHINGTON ST
JANESVILLE, WI
ZIP 53548-984
Phone: (608) 741-7630
Fax: (608) 741-6890

The provider's authorized official is Todd Anderson .
The authorized official title is Vp/cfo and has the following contact phone number (815) 971-6752.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 7/24/2020.


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
1261Q00000XClinic/Center310800WISCONSINYes

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
132796500MEDICAIDWISCONSIN
25621473OTHERILLINOISBCBSIL

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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