Organization
MERCY HEALTH SYSTEM CORPORATION
Active
Parent organization
MERCY HEALTH CORPORATION
Other names
MERCY HOSPITAL JANESVILLE
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
(608) 756-6000
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
310-800
WI
261Q00000X
Clinic/Center
310800
WI
261QM0855X
Adolescent and Children Mental Health Clinic/Center
310800
WI
261QP2000X
Physical Therapy Clinic/Center
310-800
WI
282N00000X
General Acute Care Hospital
Primary
310800
WI
291U00000X
Clinical Medical Laboratory
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
310800
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11011400
—
WI
05
—
11011426
—
WI
05
—
43009200
—
WI
05
—
43171321
—
WI
Enumeration date
05/19/2006
Last updated
06/10/2025
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