Provider Demographics
NPI:1750417176
Name:MERCYCARE INSURANCE COMPANY
Entity type:Organization
Organization Name:MERCYCARE INSURANCE COMPANY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:E PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:CRANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-895-2421
Mailing Address - Street 1:580 N WASHINGTON ST
Mailing Address - Street 2:PO BOX 2830
Mailing Address - City:JANESVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53548-2984
Mailing Address - Country:US
Mailing Address - Phone:608-741-3345
Mailing Address - Fax:
Practice Address - Street 1:580 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53548-2984
Practice Address - Country:US
Practice Address - Phone:608-741-3345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MERCYROCKFORD HEALTH SYSTEM CORPORATON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization