MERCY HEALTH SYSTEM CORPORATION (NPI# 1891037024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891037024 |
| Entity Type | Organization |
| Organization Name | MERCY HEALTH SYSTEM CORPORATION |
| Other Organization Name | MERCY ELKHORN MEDICAL CENTER |
| Practice Address |
839 N Wisconsin St Elkhorn WI 53121-4541 |
| Mailing Address |
1000 Mineral Point Ave Janesville WI 53548-2940 |
| Practice Telephone | 2627411400 |
| Practice Fax Number | 2627403838 |
| Mailing Telephone | 6087566000 |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2017-01-10 |
| Authorized Official Name | JOHN W COOK (SENIOR VP/CFO) |
| Authorized Official Telephone | 6087566000 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY HEALTH CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 310800 | WI | Suppliers |
| Other Name | Type Code |
|---|---|
| MERCY ELKHORN MEDICAL CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356688584 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 2537 W Algonquin Rd, Algonquin, IL 60102-9403 | 2013-01-08 |
| 1487924593 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 3400 Deerfield Drive, Janesville, WI 53546-3557 | 2012-01-05 |
| 1639460736 | Mercy Health System Corporation | Pharmacy | 1010 N Washington St Ste 107, Janesville, WI 53548-1500 | 2011-04-22 |
| 1558506204 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 415 E Congress Pkwy, Crystal Lake, IL 60014-6248 | 2008-12-10 |
| 1356468573 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 1001 Grant St, Harvard, IL 60033-1822 | 2007-03-23 |
| 1437276615 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 47 W Acorn Ln, Lake In The Hills, IL 60156-4804 | 2007-03-23 |
| 1639200108 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 1038 E Geneva St, Delavan, WI 53115-1921 | 2007-03-08 |
| 1699847723 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 2401 Harnish Dr, Algonquin, IL 60102-6846 | 2006-11-14 |
| 1013953504 | Mercy Health System Corporation | Pharmacy | 725 S Janesville St, Milton, WI 53563-1775 | 2006-06-21 |
| 1659786457 | Mercy Health System Corporation | Medicare Defined Swing Bed Unit | N2950 State Road 67, Lake Geneva, WI 53147-2655 | 2014-07-01 |
| Street Address |
839 N WISCONSIN ST |
| City | ELKHORN |
| State | WI |
| Zip Code | 53121-4541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164694212 | Mike Oulashian | Family Medicine | 839 N Wisconsin St, Elkhorn, WI 53121-1138 | 2008-03-28 |
| 1083095814 | Fares W Sweis | Family Medicine | 839 N Wisconsin St, Elkhorn, WI 53121-1138 | 2015-06-17 |
| 1720469539 | Nadeen Z. Sweis | Family Medicine | 839 N Wisconsin St, Elkhorn, WI 53121-1138 | 2015-06-17 |
| 1811334501 | Jessica Erin Furey | Family Medicine | 839 N Wisconsin St, Elkhorn, WI 53121-1138 | 2013-06-04 |
| 1811169550 | Jeffrey Alan Kowalski | Family Medicine | 839 N Wisconsin St, Elkhorn, WI 53121-4541 | 2008-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851857601 | All Encompassing Counseling LLC | Clinic/Center | 209 O'connor Drive, Elkhorn, WI 53121 | 2019-02-18 |
| 1689023848 | Jill Bestul | Occupational Therapist | 1532 N. Fairway Lane, Elkhorn, WI 53121 | 2016-06-08 |
| 1578984571 | Aurora Pharmacy Inc. | Pharmacy | 201 E. Morrissey Dr, Suite 100, Elkhorn, WI 53121 | 2013-12-18 |
| 1467894394 | Stephanie Lynn Coates | Counselor | 1 1/2 West Geneva Street, Credence Therapy Associates, Elkhorn, WI 53121 | 2013-07-19 |
| 1871853846 | Roger Dwight Petersen | Family Medicine | 20 South Washington St, Elkhorn, WI 53121 | 2012-05-23 |
| 1184993792 | Adam D Lewis | Pharmacist | 939 N. Wisconsin St., Elkhorn, WI 53121 | 2011-12-28 |
| 1609035328 | Paul V Kreul | Dentist | 715 W Walworth St, Elkhorn, WI 53121 | 2008-06-06 |
| 1548482508 | Mary Brauer | Physical Therapist | W3930 Co Rd Nn, Elkhorn, WI 53121 | 2007-05-02 |
| 1245458140 | Tammie Eileen Demicco | Occupational Therapy Assistant | 1922 County Rd. Nn, Elkhorn, WI 53121 | 2007-04-23 |
| 1215150198 | Laura L Barnes | Physical Therapy Assistant | 1922 County Road Nn, Elkhorn, WI 53121 | 2007-04-10 |
| Find all providers in zip 53121 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060105 | Physicians Clinic Inc | Durable Medical Equipment & Medical Supplies | 20021 Manderson St, Elkhorn, NE 68022-3233 | 2020-07-08 |
| 1811461536 | Snp Consulting Services LLC | Durable Medical Equipment & Medical Supplies | 523 S 188th Cir, Elkhorn, NE 68022-5662 | 2019-01-15 |
| 1437453222 | Aj's Complete Bathroom Remodeling | Durable Medical Equipment & Medical Supplies | 20512 Antler Cir, Elkhorn, NE 68022-2084 | 2011-01-07 |
| 1487849477 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 939 N Wisconsin St, Elkhorn, WI 53121-4541 | 2007-09-12 |
| 1568654135 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 20201 Manderson St, Elkhorn, NE 68022-3234 | 2007-08-16 |
| 1992154272 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | W3985 County Road Nn, #f107, Elkhorn, WI 53121-4337 | 2016-06-08 |
| 1457710212 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | W3985 County Road Nn, 1st Floor, Elkhorn, WI 53121-4337 | 2016-02-22 |
| 1962710178 | Aurora Medical Group Inc | Durable Medical Equipment & Medical Supplies | 20 N Church St, Elkhorn, WI 53121-1770 | 2010-09-22 |
| 1407179781 | Physicians Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 717 N 190th Plz, Elkhorn, NE 68022-3974 | 2010-03-01 |
| 1104988013 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 201 E Morrissey Dr, Elkhorn, WI 53121-4395 | 2006-12-15 |
| Find all providers in ELKHORN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.