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Organization

MERCY HEALTH SYSTEM CORPORATION

Active
Parent organization
MERCYROCKFORD HEALTH SYSTEM CORPORATION
Other names
MERCY EDGERTON MEDICAL CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
MERCYROCKFORD HEALTH SYSTEM CORPORATION
Authorized official
JOHN W COOK (SENIOR VP/CFO)
(608) 756-6000
Entity
Organization

Contact information

Practice address
217 N MAIN ST, EDGERTON, WI 53534-1613
(608) 884-9431
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6000

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
310-800
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
52D0709442
CLIA
Enumeration date
03/09/2007
Last updated
02/23/2016
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