MERCY BRODHEAD MEDICAL CENTER
NPI 1609900224
Durable Medical Equipment & Medical Supplies in Brodhead, WI

Active since March 15, 2007CLIA 52D0892850 · Waiver
2310 1ST CENTER AVE, BRODHEAD, WI 53520(608) 897-8664 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 Brodhead Medical Center NPPES

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

MERCY BRODHEAD MEDICAL CENTER (NPI 1609900224) is a healthcare organization registered as a durable medical equipment & medical supplies in Brodhead, Wisconsin and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through December 30, 2027 and lists John W Cook, Senior Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1609900224
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMERCY HEALTH SYSTEM CORPORATION
Location Address2310 1ST CENTER AVEBrodhead, WI 53520-1937
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 15, 2007
Last NPPES UpdateFebruary 23, 2016
NPI 1609900224 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.
2310 1ST CENTER AVE, Brodhead, WI 53520

Other Names 1

Doing Business AsMercy Brodhead Medical Center

Other Identifiers 3

Medicare OSCAR/certification000054176WI
Other52D0892850Clia
Medicare NSC0903300011WI

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 52D0892850

Mercy Brodhead Laboratory · Brodhead, WI
Active · expires Dec 30, 2027
CLIA Number52D0892850
Laboratory TypePhysician Office
Certificate Effective DateDecember 31, 2025
Certificate Expiration DateDecember 30, 2027
Laboratory DirectorDr. Kevin Bluemel
Laboratory Phone(608) 897-8664
Laboratory LocationMercy Brodhead Laboratory2310 First Center Ave, Brodhead, WI 53520
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
2310 1ST CENTER AVE
BRODHEAD, WI 53520
Family Medicine
2310 1ST CENTER AVE
BRODHEAD, WI 53520

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 1609900224. It was assigned to this organization in the NPPES registry on March 15, 2007. The provider is doing business as Mercy Brodhead Medical Center.

Where is Mercy Health System Corporation located?

Mercy Health System Corporation is located at 2310 1st Center Ave, Brodhead, WI 53520. The listed phone number is (608) 897-8664.

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 52D0892850) is associated with this NPI, valid through December 30, 2027. 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.