MERCY PHYSICIAN NETWORK NPI 1083965404

NPI Information

  • NPI: 1083965404
  • Provider Name: MERCY PHYSICIAN NETWORK
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: MERCY GRAYLING
  • Address: 2585 W HOUGHTON LAKE DRIVE
    PRUDENVILLE, MI
    ZIP 48651
  • Phone: (989) 366-2900

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NPI Details

MERCY PHYSICIAN NETWORK is a primary care clinic center in Prudenville, MI. MERCY PHYSICIAN NETWORK NPI is 1083965404. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercy Grayling.

The provider's business location address is:

2585 W HOUGHTON LAKE DRIVE
PRUDENVILLE, MI
ZIP 48651
Phone: (989) 366-2900
Fax: (989) 366-1166

The provider's authorized official is Hayley Baker .
The authorized official title is Nurse Practioner and has the following contact phone number (989) 366-2900.

The enumeration date for this NPI number is 9/25/2012 and was last updated on 9/25/2012.

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
1261QP2300XClinic/CenterPrimary Care4704226766MICHIGANYes

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
1BOYSCOUT2OTHERMICHIGANNPI 1942519525

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: 11/21/2025

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