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ST JOSEPH MERCY HOSPITAL NPI 1609995364


NPI Information

NPI: 1609995364
Provider Name: ST JOSEPH MERCY HOSPITAL
Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization

CLIA Number: 23D0872953

Address:
5320 ELLIOTT DR
SUITE 201
YPSILANTI, MI
ZIP 48197
Phone: (734) 712-2431
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ST JOSEPH MERCY HOSPITAL is a dietitian registered in Ypsilanti, MI. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. ST JOSEPH MERCY HOSPITAL NPI is 1609995364. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5320 ELLIOTT DR
SUITE 201
YPSILANTI, MI
ZIP 48197-051
Phone: (734) 712-2431

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 CLIA number assigned to this NPI record is 23D0872953 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2007 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
1133V00000XDietitian, RegisteredYes

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
10P16870MEDICARE ID-TYPE UNSPECIFIEDMICHIGANREG DIETITIANS

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

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