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MERCY HEALTH SYSTEM CORPORATION NPI 1699847723


NPI Information

NPI: 1699847723
Provider Name: MERCY HEALTH SYSTEM CORPORATION

Doing Business As: MERCY ALGONQUIN MEDICAL CENTER

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

CLIA Number: 14D0982451

Address:
2401 HARNISH DR
ALGONQUIN, IL
ZIP 60102
Phone: (847) 458-5440
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MERCY HEALTH SYSTEM CORPORATION is a durable medical equipment medical supplies in Algonquin, 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 1699847723. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercy Algonquin Medical Center.

The provider's business location address is:

2401 HARNISH DR
ALGONQUIN, IL
ZIP 60102-846
Phone: (847) 458-5440

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 14D0982451 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 2/24/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies310WISCONSINYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1214660MEDICARE OSCAR/CERTIFICATIONILLINOIS
2=========013MEDICAIDILLINOIS
314D0982451OTHERCLIA
40903300021MEDICARE NSCILLINOIS

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.