Mercy Woodstock Medical Center

LBN: Mercy Health System Corporation
Mercy Woodstock Medical Center is an health care organization with primary practice located at 2000 Lake Ave Room 1423, 1210, 1083, 1047, 1291, Woodstock IL 60098-6009. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Mercy Health System Corporation can be contacted via phone (815) 337-1560, or through Anderson, Todd via phone (815) 971-6752.

Contact Information

Primary practice address
2000 Lake Ave Room 1423, 1210, 1083, 1047, 1291 Woodstock IL 60098-6009
Phone: (815) 337-1560
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Todd
Phone: (815) 971-6752

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 310800 Wisconsin

Profile Details

NPI number 1720123425
LBN Legal business name Mercy Health System Corporation
DBA Doing business as Mercy Woodstock Medical Center
Authorized official Anderson, Todd
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 20th, 2007
Last updated Sep 2nd, 2020 - about 6 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 1720123425 NPPES
Other 14D0962058 CLIA #
Other 5632221 CLIA #

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