1184154544 NPI number — ST MARY MERCY PHYSICIAN PRACTICES

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184154544 NPI number — ST MARY MERCY PHYSICIAN PRACTICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ST MARY MERCY PHYSICIAN PRACTICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1184154544
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/17/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14555 LEVAN RD STE 310
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LIVONIA
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48154-5085
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
734-655-2989
Provider Business Mailing Address Fax Number:
734-655-8590

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
39201 7 MILE RD BLDG ROOM140
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LIVONIA
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48152
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
734-743-4430
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/18/2017

Additional Information

Authorized Official

Authorized Official Last Name:
SAMYN
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
A
Authorized Official Title or Position:
CHIEF FINANCIAL OFFICER
Authorized Official Telephone Number:
734-655-2909

Provider Taxonomy Codes

  • Taxonomy code: 261QU0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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