MERCY CLINIC NORTH
NPI 1487924593
Durable Medical Equipment & Medical Supplies in Janesville, WI

NPI Status: Active since January 05, 2012

Contact Information

3400 DEERFIELD DRIVE
JANESVILLE, WI
ZIP 53546
Phone: (608) 314-3660
Fax: (608) 314-3661

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About MERCY CLINIC NORTH

This page provides the complete NPI Profile along with additional information for Mercy Clinic North, a provider established in Janesville, Wisconsin operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1487924593 assigned on January 2012. The practitioner's primary taxonomy code is 332B00000X with license number 310-800 (WI). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Mercy Clinic North. The authorized official of this NPI record is John W Cook (Vp/cfo)

NPI
1487924593
Provider Legal Name
MERCY HEALTH SYSTEM CORPORATION
Other Organization Name
MERCY CLINIC NORTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3400 DEERFIELD DRIVE JANESVILLE, WI 53546
Location Phone
(608) 314-3660
Location Fax
(608) 314-3661
Mailing Address
1000 MINERAL POINT AVE JANESVILLE, WI 53548
Mailing Phone
(608) 756-6000
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-05-2012
Last Update Date
01-05-2012
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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
License No.
310-800
License State
WI
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN W COOK

Authorized Official Title
VP/CFO
Authorized Official Phone
(608) 756-6000

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
00219MEDICARE PIN (08)WI 
52D02033323OTHER (01)WICLIA
54176MEDICARE PIN (08)WI 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1487924593
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241671828518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 1 + 8 + 2 + 8 + 5 + 1 + 8 + 24 = 77
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 77 = 33

The NPI number 1487924593 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487924593, enumerated as an "organization" on January 05, 2012.

The provider is located at 3400 DEERFIELD DRIVE JANESVILLE, WI 53546 and the phone number is (608) 314-3660.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.