Mercy Mall Ltc Pharmacy

LBN: Mercy Health System Corporation
Mercy Mall Ltc Pharmacy is an health care organization with primary practice located at 1010 N Washington St Ste 107 , Janesville WI 53548-1500. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Mercy Health System Corporation can be contacted via phone (608) 755-4196, or through Shadel, Joan via phone (608) 755-8787.

Contact Information

Primary practice address
1010 N Washington St Ste 107 Janesville WI 53548-1500
Phone: (608) 755-4196
Fax: (608) 755-8710
Website:
Map and Directions
Authorized official contact:
Name: Shadel, Joan
Phone: (608) 755-8787

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X 9068 Wisconsin

Profile Details

NPI number 1639460736
LBN Legal business name Mercy Health System Corporation
DBA Doing business as Mercy Mall Ltc Pharmacy
Authorized official Shadel, Joan
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2011
Last updated Oct 12th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639460736 NPPES
Wisconsin MEDICAID 1639460736
Wisconsin Other 5132597

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