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Organization

MERCY HEALTH SYSTEM CORPORATION

Active
Parent organization
MERCY HEALTH CORPORATION
Other names
Mercy Options Behavioral Health
Organization subpart
Yes

Provider details

NPI number
Legal business name
MERCY HEALTH CORPORATION
Authorized official
JOSEPH D MALAS (CFO AUTHORIZED OFFICIAL)
(815) 971-6738
Entity
Organization

Contact information

Practice address
903 MINERAL POINT AVE, JANESVILLE, WI 53548-2970
(608) 756-5555
(608) 756-0174
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548
(608) 756-6000

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
310-800
WI
261QA0600X
Adult Day Care Clinic/Center
310-800
WI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
310800
WI
261QM0855X
Adolescent and Children Mental Health Clinic/Center
310-800
WI
261QR0400X
Rehabilitation Clinic/Center
310-800
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
11011426
WI
05
42180200
WI
05
42180221
WI
05
42180300
WI
05
42180321
WI
05
42232800
WI
05
43009200
WI
05
43171321
WI
Enumeration date
05/08/2007
Last updated
06/11/2025
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