Healthcare Provider Details

I. General information

NPI: 1730571100
Provider Name (Legal Business Name): MERCY HEALTH PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2015
Last Update Date: 11/05/2024
Certification Date: 11/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6401 PRAIRIE ST SUITE 2900
NORTON SHORES MI
49444-7840
US

IV. Provider business mailing address

6401 PRAIRIE ST STE 2900
NORTON SHORES MI
49444-7841
US

V. Phone/Fax

Practice location:
  • Phone: 231-672-7890
  • Fax: 231-672-7866
Mailing address:
  • Phone: 231-672-7890
  • Fax: 231-672-7866

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number StateMI

VIII. Authorized Official

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