MERCY HEALTH SYSTEM CORPORATION
NPI 1164588679
Chronic Disease Hospital in Janesville, WI
NPI Status: Active since December 29, 2006
Contact Information
1000 MINERAL POINT AVE
JANESVILLE, WI
ZIP 53548
Phone: (086) 741-3814
Fax: (608) 741-3816
- Organization
- Chronic Disease Hospital
- Accepts Insurance
- CLIA Number: 52D0962849
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 07-14-2027
About MERCY HEALTH SYSTEM CORPORATION
This page provides the complete NPI Profile along with additional information for Mercy Health System Corporation, a provider established in Janesville, Wisconsin operating as a Chronic Disease Hospital. The healthcare provider is registered in the NPI registry with number 1164588679 assigned on December 2006. The practitioner's primary taxonomy code is 281P00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's
- NPI
- 1164588679
- Provider Legal Name
- MERCY HEALTH SYSTEM CORPORATION
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 1000 MINERAL POINT AVE JANESVILLE, WI 53548
- Location Phone
- (086) 741-3814
- Location Fax
- (608) 741-3816
- Mailing Address
- 1000 MINERAL POINT AVE JANESVILLE, WI 53548
- Mailing Phone
- (608) 756-6000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 12-29-2006
- Last Update Date
- 06-11-2025
- Code Navigator
Location Map
Secondary Locations
- 903 Mineral Point Ave
Janesville, WI 53548
(608) 741-3814
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Chronic Disease Hospital
- Taxonomy Code
- 281P00000X
- Type
- Hospitals
- Taxonomy Description
- (1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QE0700X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- MercyCare Bronze 10,000 (1 Free PCP Visit) - HMO
- MercyCare Bronze Standard Expanded - HMO
- MercyCare Gold Standard - HMO
- MercyCare Silver 2,500 (3 Free PCP Visits) - HMO
- MercyCare Silver Health Savings - HMO
- MercyCare Silver Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42056300 | MEDICAID (05) | WI |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D0962849
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- July 15, 2025
- Certificate Expiration Date
- July 14, 2027
- Laboratory Director
- EHTESHAMUL H. ANJUM
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mercy Health System Corporation to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for MERCY HEALTH SYSTEM CORPORATION
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1164588679, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
JANESVILLE, WI 53548
JANESVILLE, WI 53548
JANESVILLE, WI 53548
JANESVILLE, WI 53548
JANESVILLE, WI 53548
JANESVILLE, WI 53548
JANESVILLE, WI 53548
JANESVILLE, WI 53548
JANESVILLE, WI 53548
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164588679, enumerated as an "organization" on December 29, 2006.
The provider is located at 1000 MINERAL POINT AVE JANESVILLE, WI 53548 and the phone number is (086) 741-3814.
Chronic Disease Hospital with taxonomy code 281P00000X.
The provider might be accepting Accepts: MercyCare Health Plans, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
