Organization · Type 2 NPI

Mercy Health System Corporation

Prosthetic/Orthotic Supplier · Lake Geneva, WI

NPI number 1710124698 Active

Practice location

N2950 State Road 67, Rm G218
Lake Geneva, WI 53147-2655

Call (262) 245-0535 Map

Mailing address

1000 Mineral Point Ave
Janesville, WI 53548-2940

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	310800 (WI)
Customized Equipment (DME)	332BC3200X	None listed
Prosthetic/Orthotic Supplier Primary	335E00000X	None listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

82 other providers at this address

NPI record

NPI: 1710124698
Entity type: Organization (Type 2)
Issued: Jan 14, 2009
Last updated: Jan 7, 2026
Status: Active
Subpart: Yes of Mercy Health Corporation

Other names

<unavail>
Mercy Walworth Hospital and Medical Center · doing business as
Mercy Walworth Hospital and Medical Center · doing business as

Authorized official

Joseph D Malas
CFO
(815) 971-6738

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1710124698

Mercy Health System Corporation's National Provider Identifier is 1710124698, issued on Jan 14, 2009. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Lake Geneva, WI. The record was last updated on Jan 7, 2026.