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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
1261QR1300XRural Health Clinic/Center

General Provider Information

NPI Number : 1518385806
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERCY HEALTH PARTNERS
Provider Business Mailing Address
First Line : PO BOX 932988
Second Line :
City : CLEVELAND
State : OH
Zip : 44193-0029
Country : US
Telephone Number : 800-494-5797
Fax Number :
Provider Business Practice Location Address
First Line : 5656 W US HIGHWAY 10
Second Line :
City : LUDINGTON
State : MI
Zip : 49431-2454
Country : US
Telephone Number : 231-843-2543
Fax Number : 231-843-2547
Authorized Official
Title or Position : VICE PRESIDENT FINANCE GRAND RAPIDS
Name : DANIEL GREEN
Credential :
Telephone Number : 616-685-6709
Provider Enumeration Date : 04/03/2014
Last Update Date : 10/10/2024

Similar Medicare Providers

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Practice Location Address:
5656 W US HIGHWAY 10
LUDINGTON, MI
49431-2454
Practice Phone: 231-316-1014
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1861642621 — MS. SCEONE MAREN KRAAI PA-C
Practice Location Address:
5656 W US HIGHWAY 10
LUDINGTON, MI
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Practice Fax: 231-843-2547
1467892364 — DR. GABRIEL BAKULA CORVETTO MD
Practice Location Address:
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49431-2454
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1861810186 — MERCY HEALTH PARTNERS
Practice Location Address:
5656 W US HIGHWAY 10
LUDINGTON, MI
49431-2454
Practice Phone: 231-843-2543
Practice Fax: 231-843-2547

Directions to “MERCY HEALTH PARTNERS ” Practice Location

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