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Organization

MERCY HEALTH SYSTEM CORPORATION

Active
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Organization

MERCY HEALTH SYSTEM CORPORATION

Active
Parent organization
MERCY HEALTH CORPORATION
Other names
MERCY REGIONAL DIALYSIS CENTER, Mercyhealth Kidney Care and Dialysis Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
MERCY HEALTH CORPORATION
Authorized official
JOSEPH D MALAS (CFO)
(815) 971-6738
Entity
Organization

Contact information

Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(086) 741-3814
(608) 741-3816
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6000

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
281P00000X
Chronic Disease Hospital
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42056300
WI
Enumeration date
12/29/2006
Last updated
06/11/2025
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