Healthcare Provider Details

I. General information

NPI: 1467476143
Provider Name (Legal Business Name): MERCY WOMEN'S HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1675 LEAHY ST STE 201A
MUSKEGON MI
49442-5542
US

IV. Provider business mailing address

PO BOX 776982
CHICAGO IL
60677-1847
US

V. Phone/Fax

Practice location:
  • Phone: 231-672-6600
  • Fax: 231-727-4691
Mailing address:
  • Phone: 800-494-5797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number StateMI

VIII. Authorized Official

Name: MICHAEL GUSHO
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 734-398-0642