Healthcare Provider Details

I. General information

NPI: 1386721413
Provider Name (Legal Business Name): MERCY MEMORIAL HOSPITAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 03/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1070 N MONROE ST
MONROE MI
48162
US

IV. Provider business mailing address

718 N MACOMB ST
MONROE MI
48162
US

V. Phone/Fax

Practice location:
  • Phone: 734-240-8888
  • Fax: 734-240-4450
Mailing address:
  • Phone: 734-240-8400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number580030
License Number StateMI

VIII. Authorized Official

Name: THOMAS SCHILLING
Title or Position: CFO VP FINANCE
Credential:
Phone: 734-240-4520