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General NPI Number Information
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NPI Number | 1467480566
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Entity Type | Organization
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Legal Business Name | SAINT MARY'S HEALTH SERVICES
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 200 JEFFERSON AVE SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-4502
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Country | US
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Telephone | 616-643-3500
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Fax | 616-643-3659
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Provider Business Mailing Address
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Address Line | 1820 44TH ST SE
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City | KENTWOOD
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State | MI
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Zip | 49508-5006
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Country | US
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Telephone | 616-643-3500
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Fax | 616-643-3659
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Authorized Official
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Title or Position | VICE PRESIDENT OF FINANCE
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Name | MR. DAN GREEN
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Credential |
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Telephone | 616-685-6709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | H-107/2005
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License Number State | MI
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