Mercy Walworth Hospital And Medical Center

LBN: Mercy Health System Corporation
Mercy Walworth Hospital And Medical Center is an health care organization with primary practice located at N2950 State Road 67 , Lake Geneva WI 53147-2655. The organization recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Ambulatory Health Care Facilities / Physical Therapy, Hospitals / Critical Access, Suppliers / Durable Medical Equipment & Medical Supplies. Hospitals / Critical Access is the primary health care specialty. Mercy Health System Corporation can be contacted via phone (262) 245-0535, or through Anderson, Todd via phone (608) 756-6000.

Contact Information

Primary practice address
N2950 State Road 67 Lake Geneva WI 53147-2655
Phone: (262) 245-0535
Fax: (262) 245-2198
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Todd
Phone: (608) 756-6000

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 310-800 Wisconsin
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 3108-800 Wisconsin
Hospitals / Critical Access 282NC0060X 1062 Wisconsin
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 310800 Wisconsin

Profile Details

NPI number 1699728550
LBN Legal business name Mercy Health System Corporation
DBA Doing business as Mercy Walworth Hospital And Medical Center
Authorized official Anderson, Todd
Entity Organization
Organization subpart 1 Yes
Enumeration date May 19th, 2006
Last updated Jul 23rd, 2020 - about 4 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 1699728550 NPPES
Wisconsin MEDICAID 11024910

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