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SAINT MARY'S HEALTH SERVICES NPI 1639111057


NPI Information

NPI: 1639111057
Provider Name: SAINT MARY'S HEALTH SERVICES

Doing Business As: MERCY HEALTH SAINT MARY'S

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization

CLIA Number: 23D0380689

Address:
200 JEFFERSON AVE SE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 643-3500
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SAINT MARY'S HEALTH SERVICES is a general acute care hospital in Grand Rapids, MI. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. SAINT MARY'S HEALTH SERVICES NPI is 1639111057. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercy Health Saint Mary's.

The provider's business location address is:

200 JEFFERSON AVE SE
GRAND RAPIDS, MI
ZIP 49503-502
Phone: (616) 643-3500
Fax: (616) 643-3659

The provider's authorized official is Dan Green .
The authorized official title is Vice President Of Finance and has the following contact phone number (616) 685-6709.

The CLIA number assigned to this NPI record is 23D0380689 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/11/2006 and was last updated on 9/20/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1282N00000XGeneral Acute Care Hospital410080MICHIGANYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1230059MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
200073OTHERMICHIGANMICHIGAN BLUE CROSS
35712062MEDICAIDMICHIGAN
41556518MEDICAIDMICHIGAN

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: 11/14/2023

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