ST JOSEPH MERCY HOSPITAL (NPI# 1174720080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174720080 |
| Entity Type | Organization |
| Organization Name | ST JOSEPH MERCY HOSPITAL |
| Practice Address |
5401 Mcauley Drive Ypsilanti MI 48197-1011 |
| Mailing Address |
34505 W 12 Mile Rd Ste 200 Farmington Hills MI 48331-3286 |
| Practice Telephone | 7347123456 |
| Mailing Telephone | 7343433922 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2017-10-05 |
| Authorized Official Name | MICHAEL P GUSHO (CFO SE MI REGION) |
| Authorized Official Telephone | 2488586174 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 276400000X | Rehabilitation, Substance Use Disorder Unit | 810349 | MI | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS OP SUB ABUSE | 21142 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023432309 | St Joseph Mercy Hospital | Clinic/Center | 7025 E Michigan Ave, Saline, MI 48176-9479 | 2014-02-07 |
| 1588870984 | St Joseph Mercy Hospital | Psychologist | 5401 Mcauley Dr, Ypsilanti, MI 48197-1011 | 2007-05-15 |
| 1508985045 | St Joseph Mercy Hospital | Family Medicine | 111 N Huron Street, Suite D225, Ypsilanti, MI 48197-1051 | 2007-03-28 |
| 1063517472 | St Joseph Mercy Hospital | General Acute Care Hospital | 5333 Mcauley Dr Rm 4001, Ypsilanti, MI 48197-1099 | 2006-09-13 |
| 1780658443 | St Joseph Mercy Hospital | Obstetrics & Gynecology | 5301 Huron River Drive, Ypsilanti, MI 48197-1051 | 2006-02-17 |
| 1134729114 | St Joseph Mercy Hospital | General Acute Care Hospital | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2020-10-28 |
| 1871052225 | St Joseph Mercy Hospital | Clinic/Center | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2019-03-15 |
| 1073029211 | St Joseph Mercy Hospital | Clinic/Center | 1600 S Canton Center Rd, Canton, MI 48188-1992 | 2017-12-26 |
| 1710492756 | St Joseph Mercy Hospital | Clinic/Center | 5315 Elliott Dr, Ypsilanti, MI 48197-8634 | 2017-12-13 |
| 1902359094 | St Joseph Mercy Hospital | Clinic/Center | 5325 Elliott Dr, Sutie 105, Ypsilanti, MI 48197-8633 | 2016-07-26 |
| Street Address |
5401 MCAULEY DRIVE |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-1011 |
| 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 |
| Find all providers in zip 48197 | ||||
| Taxonomy Code | 276400000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation, Substance Use Disorder Unit |
| A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) |
| Notes: Source: Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821311341 | Peer Choices, Inc. | Rehabilitation, Substance Use Disorder Unit | 255 N Telegraph Rd Ste 206, Waterford, MI 48328-3355 | 2010-03-11 |
| 1235749219 | Joel Darnell Dewberry | Rehabilitation, Substance Use Disorder Unit | 20102 Harper Ave, Harper Woods, MI 48225-1712 | 2020-08-05 |
| 1417570128 | Sheridan Community Hospital | Rehabilitation, Substance Use Disorder Unit | 301 N Main St, Sheridan, MI 48884-9235 | 2020-05-28 |
| 1417589086 | Black Rock Recovery, LLC | Rehabilitation, Substance Use Disorder Unit | 25235 Orchard Lake Rd, Farmington Hills, MI 48336-1233 | 2020-02-11 |
| 1053722280 | Eagle Advancement Institute | Rehabilitation, Substance Use Disorder Unit | 7091 Orchard Lake Rd, Suite 200, West Bloomfield, MI 48322-3654 | 2014-05-09 |
| 1174871305 | Dlp Marquette General Hospital LLC | Rehabilitation, Substance Use Disorder Unit | 420 W Magnetic St, Marquette, MI 49855-2700 | 2012-08-20 |
| 1932363454 | Munson Medical Center | Rehabilitation, Substance Use Disorder Unit | 1105 6th St, Traverse City, MI 49684-2345 | 2008-07-14 |
| 1487817680 | Alpena Regional Medical Center-bhs | Rehabilitation, Substance Use Disorder Unit | 1501 W Chisholm St, Alpena, MI 49707-1401 | 2008-07-08 |
| 1598949794 | Healthsource Saginaw Inc | Rehabilitation, Substance Use Disorder Unit | 3340 Hospital Rd, Saginaw, MI 48603-9622 | 2007-12-24 |
| 1578745691 | Healthsource Saginaw Inc | Rehabilitation, Substance Use Disorder Unit | 3340 Hospital Rd, Saginaw, MI 48603-9622 | 2007-11-30 |
| Find all providers with the same taxonomy | ||||
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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.