Mercy Regional Dialysis Center

LBN: Mercy Health System Corporation
Mercy Regional Dialysis Center is an health care organization with primary practice located at 1000 Mineral Point Ave , Janesville WI 53548-2940. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, Hospitals / Chronic Disease Hospital. Hospitals / Chronic Disease Hospital is the primary health care specialty. Mercy Health System Corporation can be contacted via phone (086) 741-3814, or through Anderson, Todd via phone (608) 756-6000.

Contact Information

Primary practice address
1000 Mineral Point Ave Janesville WI 53548-2940
Phone: (086) 741-3814
Fax: (608) 741-3816
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Todd
Phone: (608) 756-6000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X
Hospitals / Chronic Disease Hospital 281P00000X

Profile Details

NPI number 1164588679
LBN Legal business name Mercy Health System Corporation
DBA Doing business as Mercy Regional Dialysis Center
Authorized official Anderson, Todd
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 29th, 2006
Last updated May 9th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164588679 NPPES
Wisconsin MEDICAID 42056300

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