ST JOSEPH MERCY HOSPITAL NPI 1174720080

NPI Information

NPI: 1174720080
Provider Name: ST JOSEPH MERCY HOSPITAL
Classification: Rehabilitation, Substance Use Disorder Unit - 276400000X
Entity Type: Organization
Address:
5401 MCAULEY DRIVE
YPSILANTI, MI
ZIP 48197
Phone: (734) 712-3456
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ST JOSEPH MERCY HOSPITAL is a rehabilitation substance use disorder unit in Ypsilanti, MI. The provider is a distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) ST JOSEPH MERCY HOSPITAL NPI is 1174720080. The provider is registered as an organization entity type.

The provider's business location address is:

5401 MCAULEY DRIVE
YPSILANTI, MI
ZIP 48197-011
Phone: (734) 712-3456

The provider's authorized official is Michael P Gusho .
The authorized official title is Cfo Se Mi Region and has the following contact phone number (248) 858-6174.

The enumeration date for this NPI number is 7/3/2007 and was last updated on 10/5/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	276400000X	Rehabilitation, Substance Use Disorder Unit		810349	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	21142	OTHER	MICHIGAN	BLUE CROSS OP SUB ABUSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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