Mercy Sports Medicine Of Janesville

LBN: Mercy Health System Corporation
Mercy Sports Medicine Of Janesville is an health care organization with primary practice located at 557 N Washington St , Janesville WI 53548-2907. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Mercy Health System Corporation can be contacted via phone (608) 756-6000, or through Cook, John W via phone (608) 756-6000.

Contact Information

Primary practice address
557 N Washington St Janesville WI 53548-2907
Phone: (608) 756-6000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cook, John W
Phone: (608) 756-6000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 310800 Wisconsin

Profile Details

NPI number 1548386204
LBN Legal business name Mercy Health System Corporation
DBA Doing business as Mercy Sports Medicine Of Janesville
Authorized official Cook, John W
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 22nd, 2007
Last updated Feb 23rd, 2016 - about 9 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 1548386204 NPPES
Other 52D1011488 CLIA

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