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General NPI Number Information
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NPI Number | 1588080030
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Entity Type | Organization
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Legal Business Name | MERCY HEALTH PARTNERS
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Dates
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Enumeration Date | 03/07/2014
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 71 BEVIER ST
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City | SHELBY
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State | MI
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Zip | 49455-1209
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Country | US
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Telephone | 231-861-2187
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Fax | 231-861-5100
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Provider Business Mailing Address
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Address Line | PO BOX 932988
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City | CLEVELAND
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State | OH
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Zip | 44193-0029
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Country | US
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Telephone | 800-494-5797
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT FINANCE GRAND RAPIDS
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Name | DANIEL 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 | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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