ST. JOSEPH MERCY HOSPITAL (NPI# 1073705240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073705240 |
| Entity Type | Organization |
| Organization Name | ST. JOSEPH MERCY HOSPITAL |
| Practice Address |
5315 Elliott Dr Suite 102 Ypsilanti MI 48197-8634 |
| Mailing Address |
5301 Mcauley Dr Ypsilanti MI 48197-1051 |
| Practice Telephone | 7347122063 |
| Practice Fax Number | 7344341966 |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-08-13 |
| Authorized Official Name | DENIESE HOFFMAN (NURSE MANAGER) |
| Authorized Official Telephone | 7347125871 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 4704234928 | MI | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447543095 | St. Joseph Mercy Hospital | General Acute Care Hospital | 6464 Lakeshore Rd, Burtchville, MI 48059-2557 | 2011-05-16 |
| 1780856179 | St. Joseph Mercy Hospital | Psychiatric Hospital | 5401 Mcauley Dr, Ypsilanti, MI 48197-1011 | 2008-03-26 |
| 1114930997 | St. Joseph Mercy Hospital | Obstetrics & Gynecology | 5333 Mcauley Dr, Suite 4015, Ypsilanti, MI 48197-1014 | 2006-08-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST. JOSEPH MERCY HOSPITAL | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 |
| System for Award Management (SAM) Entities | ST. JOSEPH MERCY HOSPITAL - SMHC | 44405 Woodward Ave, Pontiac, MI 48341-5023 |
| Street Address |
5315 ELLIOTT DR SUITE 102 |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-8634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760483010 | Robert A Young | Orthopaedic Surgery | 5315 Elliott Dr, Suite 301, Ypsilanti, MI 48197-8634 | 2005-08-09 |
| 1710492756 | St Joseph Mercy Hospital | Clinic/Center | 5315 Elliott Dr, Ypsilanti, MI 48197-8634 | 2017-12-13 |
| 1578075420 | Christopher Hagedon | Physical Therapist | 5315 Elliott Dr, Ypsilanti, MI 48197-8634 | 2017-11-01 |
| 1245771583 | Catherine Mcauley Health Services Corp | Specialist | 5315 Elliott Dr, Suite 102, Ypsilanti, MI 48197-8634 | 2017-03-20 |
| 1447629662 | Johnathan Ogar | Physician Assistant | 5315 Elliott Dr, Suite 102, Ypsilanti, MI 48197-8634 | 2015-09-17 |
| 1992109904 | Iha Health Services Corp. | Orthopaedic Surgery | 5315 Elliott Dr, Suite 202, Ypsilanti, MI 48197-8634 | 2014-10-20 |
| 1225467814 | Chelsea Professional Services | Orthopaedic Surgery | 5315 Elliott Dr, Suite 301, Ypsilanti, MI 48197-8634 | 2013-11-05 |
| 1801223607 | Saline Medical Office | Orthopaedic Surgery | 5315 Elliott Dr, Suite 304, Ypsilanti, MI 48197-8634 | 2013-10-11 |
| 1003189648 | Kurt J Hiester | Physician Assistant | 5315 Elliott Dr, Ste 102, Ypsilanti, MI 48197-8634 | 2012-02-13 |
| 1316245343 | Great Lakes Prosthetics and Busch Daniel J Member | Prosthetic/Orthotic Supplier | 5315 Elliott Dr, Suite 104, Ypsilanti, MI 48197-8634 | 2011-02-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
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| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699125922 | Sarah Finlay | General Acute Care Hospital | 5333 Mcauley Dr Ste 40001, Ypsilanti, MI 48197-1014 | 2016-06-17 |
| 1134729114 | St Joseph Mercy Hospital | General Acute Care Hospital | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2020-10-28 |
| 1619303195 | St Joseph Mercy Hospital | General Acute Care Hospital | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2013-09-17 |
| 1366752776 | Saint Joseph Mercy Health System | General Acute Care Hospital | 5325 Elliott Dr Ste 102, Ypsilanti, MI 48197-8633 | 2010-10-19 |
| 1679778229 | Trinity Health-michigan | General Acute Care Hospital | 5301 Mcauley Dr, Room 1267, Ypsilanti, MI 48197-1051 | 2007-06-15 |
| 1518091115 | St.joseph Mercy Health System | General Acute Care Hospital | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2007-03-15 |
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| 1972043081 | Melissa Kovaleski | General Acute Care Hospital | 1029 Chestnut Ln, South Lyon, MI 48178-1896 | 2017-03-08 |
| 1528412517 | Bess Marie Connors | General Acute Care Hospital | 1506 Pontiac Trl, Ann Arbor, MI 48105-1719 | 2016-04-16 |
| 1093198624 | The Memorial Hospital | General Acute Care Hospital | 826 W King St # 1-117, Owosso, MI 48867-2120 | 2015-07-01 |
| 1326428285 | Ipc Hospitalist Company | General Acute Care Hospital | 1628 Huntwood Park Ct, West Bloomfield, MI 48324-3998 | 2015-06-05 |
| 1689088304 | Florida Hospital | General Acute Care Hospital | 7922 Barrie, Dearborn, MI 48126 | 2014-06-20 |
| 1720491954 | University of Michigan | General Acute Care Hospital | 1515 E. Hospital Drive, Towsley Center, 1218, Spc 5222, Ann Arbor, MI 48109-5222 | 2014-06-05 |
| 1366866956 | Bronson Methodist Hospital | General Acute Care Hospital | 601 John St Ste M-425, Kalamazoo, MI 49007-5354 | 2014-02-18 |
| 1912334756 | Mrinal Supriya | General Acute Care Hospital | 6697 Stillwell, West Bloomfield, MI 48322-1364 | 2013-10-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.