Healthcare Provider Details
I. General information
NPI: 1861818379
Provider Name (Legal Business Name): MERCY HEALTH PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/07/2014
Last Update Date: 04/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
905 E COLBY ST
WHITEHALL MI
49461-1262
US
IV. Provider business mailing address
905 E COLBY ST
WHITEHALL MI
49461-1262
US
V. Phone/Fax
- Phone: 231-728-5910
- Fax: 231-728-5918
- Phone: 231-728-5910
- Fax: 231-728-5918
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOHN
M
BRYAN
Title or Position: CEO
Credential:
Phone: 231-861-3030