Mercy Clinic East
LBN: Mercy Health System Corporation
Mercy Clinic East is an health care organization with primary practice located at 3524 E Milwaukee St , Janesville WI 53546-1626. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Mercy Health System Corporation can be contacted via phone (608) 756-7100, or through Anderson, Todd via phone (815) 971-6752.
Contact Information
Primary practice address
3524 E Milwaukee St
Janesville WI 53546-1626
Phone: (608) 756-7100
Fax: (608) 756-4700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 310-800 | Wisconsin |
| Suppliers / Customized Equipment | 332BC3200X | 310-800 | Wisconsin |
Profile Details
| NPI number | 1588795116 |
|---|---|
| LBN Legal business name | Mercy Health System Corporation |
| DBA Doing business as | Mercy Clinic East |
| Authorized official | Anderson, Todd |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Sep 2nd, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588795116 | NPPES |
| Other | 52D0392857 | CLIA | |
| Other | 118281 | CLIA | |
| Other | 0903300038 | CLIA |
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