MERCY HEALTH SYSTEM CORPORATION NPI 1699728550

NPI Information

NPI: 1699728550
Provider Name: MERCY HEALTH SYSTEM CORPORATION
Classification: General Acute Care Hospital - 282NC0060X
Specialization: Critical Access
Entity Type: Organization
Doing Business As: MERCY WALWORTH HOSPITAL AND MEDICAL CENTER
Address: N2950 STATE ROAD 67
LAKE GENEVA, WI
ZIP 53147
Phone: (262) 245-0535

Map and Directions

Get Directions

NPI Details

MERCY HEALTH SYSTEM CORPORATION is a critical access general acute care hospital in Lake Geneva, WI. MERCY HEALTH SYSTEM CORPORATION NPI is 1699728550. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mercy Walworth Hospital And Medical Center.

The provider's business location address is:

N2950 STATE ROAD 67
LAKE GENEVA, WI
ZIP 53147-655
Phone: (262) 245-0535
Fax: (262) 245-2198

The provider's authorized official is Shannon Dunphy-alexander .
The authorized official title is Cfo and has the following contact phone number (608) 757-3126.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 12/30/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225X00000X	Occupational Therapist		310-800	WISCONSIN	No
2	261QP2000X	Clinic/Center	Physical Therapy	3108-800	WISCONSIN	No
3	282NC0060X	General Acute Care Hospital	Critical Access	1062	WISCONSIN	Yes
4	332B00000X	Durable Medical Equipment & Medical Supplies		310800	WISCONSIN	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	11024910	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI