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MERCY LAKE GENEVA MEDICAL CENTER
NPI 1336271121
Durable Medical Equipment & Medical Supplies in Lake Geneva, WI

Active since March 09, 2007CLIA 52D0709444 · Waiver
350 PELLER RD, LAKE GENEVA, WI 53147(262) 249-0221 Get Directions Write a Review

NPPES record last updated: February 23, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mercy Lake Geneva Medical Center NPPES

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

MERCY LAKE GENEVA MEDICAL CENTER (NPI 1336271121) is a healthcare organization registered as a durable medical equipment & medical supplies in Lake Geneva, Wisconsin and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through September 14, 2026 and lists John W Cook, Senior Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1336271121
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMERCY HEALTH SYSTEM CORPORATION
Location Address350 PELLER RDLake Geneva, WI 53147-4543
Mailing Address1000 Mineral Point AveJanesville, WI 53548-2940 · (608) 756-6000
Phone(262) 249-0221
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 1336271121 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.
350 PELLER RD, Lake Geneva, WI 53147
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Other Names 1

Doing Business AsMercy Lake Geneva Medical Center

Other Identifiers 3

Medicare OSCAR/certification000054176WI
Medicare NSC0903300008WI
Other52D0709444Clia

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 52D0709444

Mercy Lake Geneva Medical Center · Lake Geneva, WI
Active · expires Sep 14, 2026
CLIA Number52D0709444
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2024
Certificate Expiration DateSeptember 14, 2026
Laboratory DirectorDr. Gary Myron
Laboratory Phone(262) 249-0221
Laboratory LocationMercy Lake Geneva Medical Center350 Peller Rd, Lake Geneva, WI 53147
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 10

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

FARAH SHAUKAT MD
Family Medicine
350 PELLER RD
LAKE GENEVA, WI 53147
Walworth County (262) 249-0221
DR. JAIME QUEZADA MD
Family Medicine
350 PELLER RD
LAKE GENEVA, WI 53147
Walworth County (262) 249-0221
GARY MYRON M.D.
Family Medicine
350 PELLER RD
LAKE GENEVA, WI 53147
Walworth County (262) 249-0221
DR. NORBERT G DEBIASE MD
Family Medicine
350 PELLER RD
LAKE GENEVA, WI 53147
Walworth County (262) 249-0221
JASON S SO DO
Family Medicine
350 PELLER RD
LAKE GENEVA, WI 53147
Walworth County (262) 245-0221
GABRIELLE JUDITH-MANIA SADEN MD
Family Medicine
350 PELLER RD
LAKE GENEVA, WI 53147
Walworth County (262) 249-0221
DR. ABBIGAYLE JORDAN WILLGRUBER MD
Student in an Organized Health Care Education/Training Program
350 PELLER RD
LAKE GENEVA, WI 53147
Walworth County (262) 249-0221
NADEEN Z. SWEIS MD
Family Medicine
350 PELLER RD
LAKE GENEVA, WI 53147
Walworth County (262) 249-0221

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 1336271121. It was assigned to this organization in the NPPES registry on March 9, 2007. The provider is doing business as Mercy Lake Geneva Medical Center.

Where is Mercy Health System Corporation located?

Mercy Health System Corporation is located at 350 Peller Rd, Lake Geneva, WI 53147. The listed phone number is (262) 249-0221.

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 52D0709444) is associated with this NPI, valid through September 14, 2026. 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.