MERCY HEALTH SYSTEM CORPORATION (NPI# 1548386204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548386204 |
| Entity Type | Organization |
| Organization Name | MERCY HEALTH SYSTEM CORPORATION |
| Other Organization Name | MERCY SPORTS MEDICINE OF JANESVILLE |
| Practice Address |
557 N Washington St Janesville WI 53548-2907 |
| Mailing Address |
1000 Mineral Point Ave Janesville WI 53548-2940 |
| Practice Telephone | 6087566000 |
| Mailing Telephone | 6087566000 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2016-02-23 |
| Authorized Official Name | JOHN W COOK (SENIOR VP/CFO) |
| Authorized Official Telephone | 6087566000 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCYROCKFORD HEALTH SYSTEM CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 310800 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CLIA | 52D1011488 | 01 |
| Other Name | Type Code |
|---|---|
| MERCY SPORTS MEDICINE OF JANESVILLE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356688584 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 2537 W Algonquin Rd, Algonquin, IL 60102-9403 | 2013-01-08 |
| 1487924593 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 3400 Deerfield Drive, Janesville, WI 53546-3557 | 2012-01-05 |
| 1639460736 | Mercy Health System Corporation | Pharmacy | 1010 N Washington St Ste 107, Janesville, WI 53548-1500 | 2011-04-22 |
| 1558506204 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 415 E Congress Pkwy, Crystal Lake, IL 60014-6248 | 2008-12-10 |
| 1356468573 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 1001 Grant St, Harvard, IL 60033-1822 | 2007-03-23 |
| 1437276615 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 47 W Acorn Ln, Lake In The Hills, IL 60156-4804 | 2007-03-23 |
| 1639200108 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 1038 E Geneva St, Delavan, WI 53115-1921 | 2007-03-08 |
| 1699847723 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 2401 Harnish Dr, Algonquin, IL 60102-6846 | 2006-11-14 |
| 1013953504 | Mercy Health System Corporation | Pharmacy | 725 S Janesville St, Milton, WI 53563-1775 | 2006-06-21 |
| 1659786457 | Mercy Health System Corporation | Medicare Defined Swing Bed Unit | N2950 State Road 67, Lake Geneva, WI 53147-2655 | 2014-07-01 |
| Street Address |
557 N WASHINGTON ST |
| City | JANESVILLE |
| State | WI |
| Zip Code | 53548-2907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235176363 | Jessica J Mirek | Physical Therapist | 557 N Washington St, Janesville, WI 53548-2907 | 2006-05-31 |
| 1720693807 | Kristin K Anderson | Physical Therapist | 557 N Washington St, Janesville, WI 53548-2907 | 2020-09-15 |
| 1568008605 | Abigail Renee Hansen | Specialist/Technologist | 557 N Washington St, Janesville, WI 53548-2907 | 2019-11-25 |
| 1851942247 | Derek S. Drays | Physical Therapy Assistant | 557 N Washington St, Janesville, WI 53548-2907 | 2019-09-26 |
| 1740847433 | Erika T Smithrud | Speech-Language Pathologist | 557 N Washington St, Janesville, WI 53548-2907 | 2019-05-29 |
| 1053978163 | Peter W. Menges | Physical Therapist | 557 N Washington St, Janesville, WI 53548-2907 | 2019-05-23 |
| 1396302808 | Kelly Routt | Specialist/Technologist | 557 N Washington St, Janesville, WI 53548-2907 | 2019-05-21 |
| 1982179172 | Brittni N. Beerman | Speech-Language Pathologist | 557 N Washington St, Janesville, WI 53548-2907 | 2018-10-04 |
| 1265914584 | Morgan S. Bock | Speech-Language Pathologist | 557 N Washington St, Janesville, WI 53548-2907 | 2018-09-04 |
| 1619453842 | Gina M. Williams | Physical Therapist | 557 N Washington St, Janesville, WI 53548-2907 | 2018-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578846010 | Patricia Ann Sheets | Licensed Vocational Nurse | 316 N. Terrace St., Janbesville, WI 53548 | 2011-09-21 |
| 1760658983 | Kristy Kay Prentice Kerl | Dental Hygienist | 121 Jonathon Dr, Janesville, WI 53548 | 2008-05-07 |
| 1316005978 | City of Janesville | Emergency Medical Technician, Paramedic | 18 N Jackson St, Janesville, WI 53548 | 2006-12-05 |
| 1558464115 | Sarah Louise Hessenauer | Social Worker | 17 S. River St, Suite 254, Janesville, WI 53548 | 2006-09-07 |
| 1073548327 | Mary Katherine Cefalu | Registered Nurse | 17 S. River, Suite 254, Janesville, WI 53548 | 2006-07-12 |
| 1699707950 | Gary Lavern Jones | Counselor | 175 River, Suite 254, Janesville, WI 53548 | 2006-07-07 |
| 1295767424 | Michael Stuart Kaye | Clinical Neuropsychologist | 17 S River St Ste 254, Janesville, WI 53548 | 2006-07-07 |
| 1205864055 | Amy Laurie Roy | Counselor | 17 S River Suite 254, Janesville, WI 53548 | 2006-06-29 |
| 1518903566 | Leota I Larson | Psychologist | 17 S River, Suite 254, Janesville, WI 53548 | 2006-06-20 |
| 1760950414 | North Star Chiropractic LLC | Chiropractor | 21 S Jackson St, Ste 160, Janesville, WI 53548 | 2018-11-10 |
| Find all providers in zip 53548 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194158303 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1700 Milton Ave., Janesville, WI 53545-0833 | 2013-08-12 |
| 1487924593 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 3400 Deerfield Drive, Janesville, WI 53546-3557 | 2012-01-05 |
| 1497906069 | Home Care United, Inc. | Durable Medical Equipment & Medical Supplies | 3700 E Racine St, Janesville, WI 53546-2321 | 2008-10-01 |
| 1346431327 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1740 Center Ave, Janesville, WI 53546-2803 | 2007-08-06 |
| 1619029139 | Mercy Assisted Care, Inc | Durable Medical Equipment & Medical Supplies | 1236 Barberry Dr, Janesville, WI 53545-0457 | 2007-01-17 |
| 1952476178 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 1630 Plainfield Ave, Janesville, WI 53545-0282 | 2006-11-22 |
| 1528158508 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 3900 Deerfield Dr, Janesville, WI 53546-4431 | 2006-10-13 |
| 1184636979 | Dean Health Systems, Inc. | Durable Medical Equipment & Medical Supplies | 2540 E Us Highway 14, Janesville, WI 53545-0308 | 2006-08-12 |
| 1396750444 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1933 W Court St, Janesville, WI 53548-3417 | 2006-07-29 |
| 1194747790 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2017 Humes Rd, Janesville, WI 53545 | 2006-07-24 |
| Find all providers in JANESVILLE | ||||
| City | JANESVILLE |
| Zip Code | 53548 |
Please comment or provide details below to improve the information on MERCY HEALTH SYSTEM CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.