MERCY HEALTH PARTNERS (NPI# 1336764232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336764232 |
| Entity Type | Organization |
| Organization Name | MERCY HEALTH PARTNERS |
| Practice Address |
7105 Broadmoor Ave Se Caledonia MI 49316-9510 |
| Practice Telephone | 6166857900 |
| Practice Fax Number | 6166857909 |
| Mailing Telephone | 6166857900 |
| Mailing Fax Number | 6166857909 |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-06-16 |
| Authorized Official Name | BETTY ELLER (CREDENTAILING COORDINATOR) |
| Authorized Official Telephone | 2316722120 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY HEALTH PARTNERS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Business Health Solutions - Broadmoor | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083239974 | Mercy Health Partners | Family Medicine | 826 Parchment Dr Se Ste 210, Grand Rapids, MI 49546-2307 | 2020-06-16 |
| 1407113434 | Mercy Health Partners | Nursing Facility/Intermediate Care Facility | 7148 Clovernook Ave, Cincinnati, OH 45231-5567 | 2012-04-16 |
| 1700421757 | Mercy Health Partners | Clinic/Center | 475 S State St, Sparta, MI 49345-1549 | 2019-11-14 |
| 1699310649 | Mercy Health Partners | Clinic/Center | 475 S State St, Sparta, MI 49345-1549 | 2019-11-14 |
| 1598213241 | Mercy Health Partners | Occupational Therapist | 5656 W Us Highway 10, Ludington, MI 49431-2454 | 2016-09-12 |
| 1730571100 | Mercy Health Partners | Prosthetic/Orthotic Supplier | 6401 Prairie St, Suite 2900, Norton Shores, MI 49444-7840 | 2015-02-23 |
| 1801208087 | Mercy Health Partners | Surgery | 905 E Colby St, Whitehall, MI 49461-1262 | 2014-05-22 |
| 1518385806 | Mercy Health Partners | Clinic/Center | 5656 W Us Highway 10, Ludington, MI 49431-2454 | 2014-04-03 |
| 1861810186 | Mercy Health Partners | Family Medicine | 5656 W Us Highway 10, Ludington, MI 49431-2454 | 2014-04-03 |
| 1588080030 | Mercy Health Partners | Clinic/Center | 71 Bevier St, Shelby, MI 49455-1209 | 2014-03-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERCY HEALTH PARTNERS | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 |
| Ohio Business Entities | MERCY HEALTH PARTNERS | 2200 Jefferson Ave., 4th Fl, Toledo, OH 43604 |
| Street Address |
7105 BROADMOOR AVE SE |
| City | CALEDONIA |
| State | MI |
| Zip Code | 49316-9510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225582646 | Careatc - Caledonia | Clinic/Center | 7105 Broadmoor Ave Se, Caledonia, MI 49316-9510 | 2016-08-15 |
| 1386295780 | Careatc | Clinic/Center | 7105 Broadmoor Ave Se, Caledonia, MI 49316-9510 | 2019-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407326036 | Daina Elizabeth Graves | Occupational Therapist | 10560 Whispering Waters Ln Se, Caledonia, MI 49316 | 2018-11-27 |
| 1033619135 | Spectrum Health Primary Care Partners | Physical Therapist | 6201 68th St Se, Caledonia, MI 49316 | 2018-02-15 |
| 1538672035 | Justin Michael Keely | Student in an Organized Health Care Education/Training Program | 8441 Sunnyview Rd., Caledonia, MI 49316 | 2017-11-07 |
| 1457614521 | Rahaf Halimeh | Dentist | 3625 Riverbed Lane Se, #3, Caledonia, MI 49316 | 2012-06-22 |
| 1487913158 | Adam Zachary Mitchell | Family Medicine | 9090 S Rodgers Ct Se Ste A, Caledonia, MI 49316 | 2012-05-15 |
| 1841588522 | Oday Ali Kasim | Pharmacist | 9375 Cherry Valley Ave., Caledonia, MI 49316 | 2011-07-15 |
| 1417183344 | Allison Leigh Ford | Physical Therapist | 10047 Cross Road Ct. Se, Suite 150, Caledonia, MI 49316 | 2009-06-05 |
| 1336351741 | Paula Delorm | Physical Therapist | 6595 Gracepoint Dr. Se, Caledonia, MI 49316 | 2007-05-06 |
| 1366532798 | Wayne D Westbrook | Dentist | 3125 68th St Se, Dutton, MI 49316 | 2006-10-14 |
| 1629184056 | Patricia Brunck Cassell | Social Worker | 9090 Sourth Rodgers Court Se, Caledonia, MI 49316 | 2006-08-21 |
| Find all providers in zip 49316 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487913158 | Adam Zachary Mitchell | Family Medicine | 9090 S Rodgers Ct Se Ste A, Caledonia, MI 49316 | 2012-05-15 |
| 1023052065 | Lori Ferris | Family Medicine | 3350 Brown Rd, Caledonia, NY 14423-9534 | 2006-06-16 |
| 1831142306 | Liton Mecano | Family Medicine | 10047 Crossroad Ct Se, Caledonia, MI 49316-7316 | 2006-05-18 |
| 1629021985 | Jennifer Harmon Battiste | Family Medicine | 7115 Kalamazoo Ave Se, Suite A, Caledonia, MI 49316 | 2006-05-18 |
| 1477541423 | Michelle Lee Glenna Rein | Family Medicine | 701 N Sprague St, Caledonia, MN 55921-1066 | 2005-10-12 |
| 1760896906 | Mitchell Sydloski | Family Medicine | 10047 Crossroad Ct Se, Caledonia, MI 49316-7316 | 2014-06-16 |
| 1982017265 | Jamie Jean Mccartney | Family Medicine | 9090 S Rodgers Ct Se Ste A, Caledonia, MI 49316 | 2014-06-04 |
| 1568758704 | Rebecca Marie Osbourne | Family Medicine | 10047 Crossroad Ct Se, Caledonia, MI 49316-7316 | 2011-06-27 |
| 1972511400 | Wendy Sue Balivet | Family Medicine | 10047 Crossroad Ct Se, Caledonia, MI 49316 | 2006-08-03 |
| 1225050701 | Channing E Finkbeiner | Family Medicine | 10047 Crossroad Ct Se, Caledonia, MI 49316-7316 | 2006-07-24 |
| Find all providers in CALEDONIA | ||||
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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.