Healthcare Provider Details

I. General information

NPI: 1326463357
Provider Name (Legal Business Name): MERCY HEALTH PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2014
Last Update Date: 10/10/2024
Certification Date: 10/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 E COLBY ST
WHITEHALL MI
49461-1262
US

IV. Provider business mailing address

PO BOX 932988
CLEVELAND OH
44193-0029
US

V. Phone/Fax

Practice location:
  • Phone: 231-728-5910
  • Fax: 231-728-5918
Mailing address:
  • Phone: 800-494-5797
  • 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: VICE PRESIDENT FINANCE GRAND RAPIDS
Credential:
Phone: 616-685-6709