| Mercy Health System Corporation | |
|
507 W Main St Whitewater WI 53190-1852 | |
| (262) 473-0400 | |
| (262) 473-0408 |
| Full Name | Mercy Health System Corporation |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 507 W Main St, Whitewater, Wisconsin |
| Authorized Official Name and Position | Todd Anderson (VP CFO) |
| Authorized Official Contact | 8159716752 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Health System Corporation 1000 Mineral Point Ave Janesville WI 53548-2940 Ph: (608) 756-6000 | Mercy Health System Corporation 507 W Main St Whitewater WI 53190-1852 Ph: (262) 473-0400 |
| NPI Number | 1366039067 |
|---|---|
| Provider Enumeration Date | 12/29/2020 |
| Last Update Date | 12/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366039067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Edgerton Hospital And Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 757 E Milwaukee St, Whitewater, WI 53190 Phone: 608-884-1609 | |