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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