Healthcare Provider Details

I. General information

NPI: 1528997806
Provider Name (Legal Business Name): MERCY HEALTH PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15151 STANTON ST
WEST OLIVE MI
49460-8543
US

IV. Provider business mailing address

PO BOX 932988
CLEVELAND OH
44193-0029
US

V. Phone/Fax

Practice location:
  • Phone: 616-685-1950
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DANIEL GREEN
Title or Position: VP FINANCE
Credential:
Phone: 616-685-6709