Organization
MERCY HEALTH SYSTEM CORPORATION
Active
Parent organization
MERCY HEALTH CORPORATION
Other names
Mercy Clinic East
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY HEALTH CORPORATION
Authorized official
SHANNON DUNPHY-ALEXANDER (CFO)
(608) 757-3126
Entity
Organization
Contact information
Practice address
3524 E MILWAUKEE ST, RM 1200 & 1202, JANESVILLE, WI 53546-1626
(608) 756-7100
(608) 756-4700
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
332BC3200X
Customized Equipment (DME)
310-800
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0903300038
DME MEDICARE
WI
01
—
118281
MAMMO
—
01
—
52D0392857
CLIA
—
Enumeration date
03/07/2007
Last updated
05/13/2026
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