MERCY EDGERTON MEDICAL CENTER
NPI 1124159165
Durable Medical Equipment & Medical Supplies in Edgerton, WI

Active since March 09, 2007CLIA 52D0709442 · Waiver
217 N MAIN ST, EDGERTON, WI 53534(608) 884-9431 Get Directions Write a Review

NPPES record last updated: February 23, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mercy Edgerton Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MERCY EDGERTON MEDICAL CENTER (NPI 1124159165) is a healthcare organization registered as a durable medical equipment & medical supplies in Edgerton, Wisconsin and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through January 29, 2028 and lists John W Cook, Senior Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1124159165
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMERCY HEALTH SYSTEM CORPORATION
Location Address217 N MAIN STEdgerton, WI 53534-1613
Mailing Address1000 Mineral Point AveJanesville, WI 53548-2940 · (608) 756-6000
Organization SubpartYesParent: Mercyrockford Health System Corporation
Authorized OfficialJohn W CookSenior Vp/cfo · (608) 756-6000
Enumeration DateMarch 9, 2007
Last NPPES UpdateFebruary 23, 2016
NPI 1124159165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License Licensed in WI · 310-800
Definition
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.
217 N MAIN ST, Edgerton, WI 53534

Other Names 1

Doing Business AsMercy Edgerton Medical Center

Other Identifiers 3

Other52D0709442Clia
Medicare OSCAR/certification000054176WI
Medicare NSC0903300006WI

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D0709442

Mercy Edgerton Medical Center · Edgerton, WI
Active · expires Jan 29, 2028
CLIA Number52D0709442
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2026
Certificate Expiration DateJanuary 29, 2028
Laboratory DirectorDr. Justin Frey
Laboratory Phone(608) 884-9431
Laboratory LocationMercy Edgerton Medical Center217 N Main St, Edgerton, WI 53534
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
217 N MAIN ST
EDGERTON, WI 53534

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mercy Health System Corporation's NPI number?

The NPI number for Mercy Health System Corporation is 1124159165. It was assigned to this organization in the NPPES registry on March 9, 2007. The provider is doing business as Mercy Edgerton Medical Center.

Where is Mercy Health System Corporation located?

Mercy Health System Corporation is located at 217 N Main St, Edgerton, WI 53534. The listed phone number is (608) 884-9431.

What is Mercy Health System Corporation's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Mercy Health System Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0709442) is associated with this NPI, valid through January 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mercy Health System Corporation was last updated on February 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.