NPI Code Details Logo

NPI 1326463357

NPI 1326463357 : MERCY HEALTH PARTNERS : WHITEHALL, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1326463357
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    MERCY HEALTH PARTNERS 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/27/2014
-----------------------------------------------------
    Last Update Date     |    10/10/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    905 E COLBY ST 
-----------------------------------------------------
    City                 |    WHITEHALL
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    49461-1262
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    231-728-5910
-----------------------------------------------------
    Fax                  |    231-728-5918
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 932988 
-----------------------------------------------------
    City                 |    CLEVELAND
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    44193-0029
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    800-494-5797
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    VICE PRESIDENT FINANCE GRAND RAPIDS
-----------------------------------------------------
    Name                 |     DANIEL  GREEN 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    616-685-6709
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QR1300X
-----------------------------------------------------
    Taxonomy Name        |    Rural Health Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.