Organization
MERCY HEALTH SYSTEM CORPORATION
Active
Parent organization
MERCYROCKFORD HEALTH SYSTEM CORPORATION
Other names
MERCY CLINIC WEST
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
1000 MINERAL POINT AVE, ROOM 2-136, JANESVILLE, WI 53548-2940
(608) 756-6800
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
310800
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52D0973496
CLIA
—
Enumeration date
03/22/2007
Last updated
02/23/2016
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