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NPI Code Detail

MEDICARE: MERCY MEMORIAL HEALTH SERVICES INC

MEDICARE: MERCY MEMORIAL HEALTH SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility114130MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003802596
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERCY MEMORIAL HEALTH SERVICES INC
Provider Business Mailing Address
First Line : PO BOX 410
Second Line :
City : SAINT JOSEPH
State : MI
Zip : 49085-0410
Country : US
Telephone Number : 269-983-6501
Fax Number : 269-983-2237
Provider Business Practice Location Address
First Line : 4368 CLEVELAND AVE
Second Line :
City : STEVENSVILLE
State : MI
Zip : 49127-9595
Country : US
Telephone Number : 269-983-6501
Fax Number : 269-983-2237
Authorized Official
Title or Position : CFO
Name : MATTHEW E COX
Credential :
Telephone Number : 616-391-1663
Provider Enumeration Date : 09/21/2005
Last Update Date : 08/16/2023

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Directions to “MERCY MEMORIAL HEALTH SERVICES INC ” Practice Location

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