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Organization

MERCY HEALTH SYSTEM CORPORATION

Active
Parent organization
MERCY HEALTH CORPORATION
Other names
MERCY WALWORTH HOSPITAL AND MEDICAL 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
N2950 STATE ROAD 67, RM G218, LAKE GENEVA, WI 53147-2655
(262) 245-0535
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
310800
WI
332BC3200X
Customized Equipment (DME)
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0903300045
DME
WI
Enumeration date
01/14/2009
Last updated
01/07/2026
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