ST MARY MERCY HOSPITAL NPI 1013649557

NPI Information

NPI: 1013649557
Provider Name: ST MARY MERCY HOSPITAL

Doing Business As: TRINITY HEALTH ST. MARY MERCY LIVONIA

Classification: Registered Nurse - 163WD0400X
Entity Type: Organization

Specialization: Diabetes Educator

Address:
36475 FIVE MILE RD
LIVONIA, MI
ZIP 48154
Phone: (734) 655-4800
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ST MARY MERCY HOSPITAL is a diabetes educator registered nurse in Livonia, MI. ST MARY MERCY HOSPITAL NPI is 1013649557. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Trinity Health St. Mary Mercy Livonia.

The provider's business location address is:

36475 FIVE MILE RD
LIVONIA, MI
ZIP 48154-971
Phone: (734) 655-4800

The provider's authorized official is Michael Paul Gusho .
The authorized official title is Regional Cfo and has the following contact phone number (231) 672-3886.

The CLIA number assigned to this NPI record is 23D0367918 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/24/2022 and was last updated on 7/19/2022.

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	163WD0400X	Registered Nurse	Diabetes Educator			Yes

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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