MERCY ELKHORN MEDICAL CENTER
NPI 1891037024
Durable Medical Equipment & Medical Supplies in Elkhorn, WI
- Organization
- Durable Medical Equipment & Medical Supp...
- CLIA Number: 52D2055186
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-31-2026
About MERCY ELKHORN MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Mercy Elkhorn Medical Center, a provider established in Elkhorn, Wisconsin operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1891037024 assigned on March 2013. The practitioner's primary taxonomy code is 332B00000X with license number 310800 (WI). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Mercy Elkhorn Medical Center. The authorized official of this NPI record is John W Cook (Senior Vp/cfo)
- NPI
- 1891037024 Verify this NPI
- Provider Legal Name
- MERCY HEALTH SYSTEM CORPORATION
- Other Organization Name
- MERCY ELKHORN MEDICAL CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 839 N WISCONSIN ST ELKHORN, WI 53121
- Location Phone
- (262) 741-1400
- Location Fax
- (262) 740-3838
- Mailing Address
- 1000 MINERAL POINT AVE JANESVILLE, WI 53548
- Mailing Phone
- (608) 756-6000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 03-26-2013
- Last Update Date
- 01-10-2017
- Code Navigator
Location Map
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.
- 310800
- 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.
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 |
|---|---|---|---|
| 541760000 | MEDICARE OSCAR/CERTIFICATION (06) | WI | |
| 0903300044 | MEDICARE OSCAR/CERTIFICATION (06) | 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
- 52D2055186
- Facility Type
- Physician Office
- Certificate Effective Date
- November 01, 2024
- Certificate Expiration Date
- October 31, 2026
- Laboratory Director
- DR. JEFFREY A. KOWALSKI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mercy Elkhorn Medical Center 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 ELKHORN MEDICAL CENTER
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891037024, enumerated as an "organization" on March 26, 2013.
The provider is located at 839 N WISCONSIN ST ELKHORN, WI 53121 and the phone number is (262) 741-1400.
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.
