MEDICARE: MERCY HEALTH PARTNERS

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	273R00000X	Psychiatric Hospital Unit	H012/2000	MI

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	00066	OTHER	MI	BCBSM
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1144251489
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCY HEALTH PARTNERS

Provider Business Mailing Address
First Line	:	20555 VICTOR PKWY
Second Line	:
City	:	LIVONIA
State	:	MI
Zip	:	48152-7031
Country	:	US
Telephone Number	:	734-343-3925
Fax Number	:	312-957-3997

Provider Business Practice Location Address
First Line	:	125 E SOUTHERN AVE STE 120
Second Line	:
City	:	MUSKEGON
State	:	MI
Zip	:	49442-5041
Country	:	US
Telephone Number	:	231-672-2000
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. GARY ALLORE
Credential	:
Telephone Number	:	231-728-4809

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	02/13/2026

125 E SOUTHERN AVE STE 120
MUSKEGON, MI
49442-5041

Practice Phone: 231-672-4950
Practice Fax: 231-672-5519

125 E SOUTHERN AVE
MUSKEGON, MI
49442-5041