Healthcare Provider Details

I. General information

NPI: 1821075136
Provider Name (Legal Business Name): MERCY HEALTH PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2005
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1124 E HACKLEY AVE
MUSKEGON MI
49444-1874
US

IV. Provider business mailing address

1124 E HACKLEY AVE
MUSKEGON MI
49444-1874
US

V. Phone/Fax

Practice location:
  • Phone: 231-672-4711
  • Fax: 231-672-2625
Mailing address:
  • Phone: 231-672-4711
  • Fax: 231-672-2625

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: GARY EDWARD ALLORE
Title or Position: PRESIDENT
Credential:
Phone: 231-672-4888