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NPI Code Detail

MEDICARE: MERCY HEALTH PARTNERS

MEDICARE: MERCY HEALTH PARTNERS
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1261QM0850XAdult Mental Health Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10N85740OTHERMIGROUP PTAN
20P15090OTHERMIGROUP PTAN
30F16394OTHERMIGROUP PTAN

General Provider Information

NPI Number : 1194767186
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERCY HEALTH PARTNERS
Provider Business Mailing Address
First Line : PO BOX 776974
Second Line :
City : CHICAGO
State : IL
Zip : 60677-6974
Country : US
Telephone Number : 800-494-5797
Fax Number :
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 : 231-672-4950
Fax Number : 231-672-5519
Authorized Official
Title or Position : VP FINANCE GRAND RAPIDS
Name : DANIEL GREEN
Credential :
Telephone Number : 616-685-6709
Provider Enumeration Date : 06/12/2006
Last Update Date : 03/05/2026

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Directions to “MERCY HEALTH PARTNERS ” Practice Location

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