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General NPI Number Information
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NPI Number | 1992761985
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Entity Type | Organization
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Legal Business Name | ST JOSEPH MERCY CHELSEA INC
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 775 S MAIN ST
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City | CHELSEA
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State | MI
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Zip | 48118-1370
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Country | US
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Telephone | 734-593-6000
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Fax | 734-593-5365
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Provider Business Mailing Address
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Address Line | 20555 VICTOR PKWY
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City | LIVONIA
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State | MI
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Zip | 48152-7031
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Country | US
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Telephone | 734-593-6000
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Fax | 734-593-5365
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Authorized Official
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Title or Position | SR REIMBURSEMENT MANAGEMENT ANALYST
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Name | MICHAEL GUSHO
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Credential |
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Telephone | 734-398-0642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State | MI
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