MERCY HEALTH PARTNERS (NPI# 1730571100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730571100 |
| Entity Type | Organization |
| Organization Name | MERCY HEALTH PARTNERS |
| Other Organization Name | THE BOUTIQUE AT MERCY HEALTH, LAKES VILLAGE |
| Practice Address |
6401 Prairie St Suite 2900 Norton Shores MI 49444-7840 |
| Mailing Address |
Po Box 1847 Muskegon MI 49443-1847 |
| Practice Telephone | 2317247890 |
| Practice Fax Number | 2317247866 |
| Mailing Telephone | 2317274444 |
| Mailing Fax Number | 2317284789 |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2015-02-23 |
| Authorized Official Name | LESLIE SWANKER (MANAGER) |
| Authorized Official Telephone | 2316723063 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRINITY HEALTH - MICHIGAN |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | MI | Suppliers | |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | MI | Suppliers |
| Other Name | Type Code |
|---|---|
| The Boutique at Mercy Health, Lakes Village | 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 |
| 1336764232 | Mercy Health Partners | Family Medicine | 7105 Broadmoor Ave Se, Caledonia, MI 49316-9510 | 2020-06-16 |
| 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 |
| 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 |
6401 PRAIRIE ST SUITE 2900 |
| City | NORTON SHORES |
| State | MI |
| Zip Code | 49444-7840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700410446 | Ashley Goodsmith | Physician Assistant | 6401 Prairie St, Norton Shores, MI 49444-7840 | 2020-03-02 |
| 1962068544 | Liberty Anne Abraham | Nurse Practitioner | 6401 Prairie St, Norton Shores, MI 49444-7840 | 2019-05-19 |
| 1962977702 | Julie Ann Juntunen | Nurse Practitioner | 6401 Prairie St, Norton Shores, MI 49444-7840 | 2018-10-08 |
| 1437604212 | Hillary Ann Bickel | Physician Assistant | 6401 Prairie St, Suite 1600, Norton Shores, MI 49444-7840 | 2016-08-22 |
| 1174924948 | Alicia A Gappa | Nurse Practitioner | 6401 Prairie St, Suite 1600, Norton Shores, MI 49444-7840 | 2014-09-11 |
| 1558709964 | Kelly A Flynn | Family Medicine | 6401 Prairie St, Suite 2600, Norton Shores, MI 49444-7840 | 2013-06-07 |
| 1922445022 | Jennifer Kay Dulaney | Family Medicine | 6401 Prairie St, Suite 1600, Norton Shores, MI 49444-7840 | 2013-05-29 |
| 1952664583 | Alex Francis Wagner | Family Medicine | 6401 Prairie St, Suite 1600, Norton Shores, MI 49444-7840 | 2012-06-19 |
| 1184911596 | Jennifer Lynn Mosher | Nurse Practitioner | 6401 Prairie St, Suite 2300, Norton Shores, MI 49444-7840 | 2011-07-06 |
| 1215183892 | Sara Staupe Holzgen | Obstetrics & Gynecology | 6401 Prairie St, Norton Shores, MI 49444-7840 | 2008-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073084349 | Cathy Forrest, Ma, LLP Plc | Psychologist | 255 Seminole Road, Suite-205, Muskegon, MI 49444 | 2018-12-16 |
| 1831687276 | Sarah J Weiden | Massage Therapist | 1040 E Sternberg Rd, Muskegon, MI 49444 | 2018-04-30 |
| 1184131500 | Hatem M Gelani Sr. | Dentist | 1725 E Sherman Blvd, Muskegon, MI 49444 | 2018-01-08 |
| 1497123673 | Rite Aid | Pharmacist | 2213 E Hile Road, Muskegon, MI 49444 | 2015-09-04 |
| 1689077075 | Rosa Carpenter-parker | Counselor | 445 East Sherman, Muskegon, MI 49444 | 2014-09-30 |
| 1417373036 | Smile Center Pllc | Dentist | 3500 Park Street, Smile Center Pllc, Muskegon, MI 49444 | 2014-03-06 |
| 1134460439 | Adam L Powell | Physical Medicine & Rehabilitation | 1675 E Mount Garfield Rd, Muskegon, MI 49444 | 2013-03-12 |
| 1972847135 | Kristen Haugh | Physical Therapist | 5251 Harvey St Ste 100, Norton Shores, MI 49444 | 2012-11-12 |
| 1912261694 | Brandon D Freel | Obstetrics & Gynecology | 6401 Prairie St Ste 2100, Norton Shores, MI 49444 | 2012-06-27 |
| 1437434487 | Amy Stegall | Pharmacist | 1171 E Sherman, Norton Shores, MI 49444 | 2011-10-20 |
| Find all providers in zip 49444 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417141482 | Woodward Detroit Cvs LLC | Durable Medical Equipment & Medical Supplies | 5057 Harvey St, Norton Shores, MI 49444-9795 | 2007-08-31 |
| 1841498920 | Foot and Ankle Specialists of West Michigan Pllc | Durable Medical Equipment & Medical Supplies | 1450 East Farr Road, Norton Shores, MI 49444-9738 | 2007-07-10 |
| 1336226935 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1171 E. Sherman Blvd., Norton Shores, MI 49444-1809 | 2006-11-01 |
| 1922117472 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 730 Seminole Road, Norton Shores, MI 49441-4722 | 2006-08-29 |
| 1356586895 | Shoreline Optical, LLC | Durable Medical Equipment & Medical Supplies | 3375 Mccracken St, Norton Shores, MI 49441-3670 | 2008-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972103257 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 555 Towner St Ste 1120d, Ypsilanti, MI 48198-5723 | 2020-10-27 |
| 1336747336 | Wheelchairs Outlet | Durable Medical Equipment & Medical Supplies | 5506 Maplebrook Ln, Flint, MI 48507-4160 | 2020-10-12 |
| 1205449543 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 608 Wright Ave Rm 106, Alma, MI 48801-1617 | 2020-08-26 |
| 1699386227 | Iha Health Service Corporation | Durable Medical Equipment & Medical Supplies | Iha Associates In Podiatry, 14555 Levan Road Suite 116, Livonia, MI 48154 | 2020-08-17 |
| 1134747363 | Quick Care Medical Devices, LLC | Durable Medical Equipment & Medical Supplies | 25500 Meadowbrook Rd 275b, Novi, MI 48375 | 2020-07-14 |
| 1457979858 | American Dental Care Lab LLC | Durable Medical Equipment & Medical Supplies | 9209 N Island Ct, Flushing, MI 48433-2934 | 2020-07-12 |
| 1013535178 | Karmen Industries LLC | Durable Medical Equipment & Medical Supplies | 4225 Tanglewood Trl, Saint Joseph, MI 49085-9647 | 2020-07-06 |
| 1972126126 | Boss and Rorvik Family Dental, Pllc | Durable Medical Equipment & Medical Supplies | 1504 Harcrest Dr Ste 2, Midland, MI 48640-4717 | 2020-05-22 |
| 1720600463 | Milk Moves LLC | Durable Medical Equipment & Medical Supplies | 18032 James Couzens Fwy, Detroit, MI 48235-2646 | 2020-05-15 |
| 1225658818 | Aen Sports, LLC | Durable Medical Equipment & Medical Supplies | 40417 Beechwood Ct, Northville, MI 48168-3418 | 2020-04-23 |
| Find all providers with the same taxonomy | ||||
| City | NORTON SHORES |
| Zip Code | 49444 |
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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.