MERCY HEALTH PARTNERS (NPI# 1285662981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285662981 |
| Entity Type | Organization |
| Organization Name | MERCY HEALTH PARTNERS |
| Other Organization Name | MHP - LAKESHORE CAMPUS |
| Practice Address |
72 S State St Shelby MI 49455-1228 |
| Practice Telephone | 2318612156 |
| Practice Fax Number | 2318613028 |
| Mailing Telephone | 2318612156 |
| Mailing Fax Number | 2318613028 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2014-01-27 |
| Authorized Official Name | MR. JAY MAULY BRYAN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2318613029 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
640021 | MI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 00111 | 01 |
| MI | 1696161 | 05 | |
| MI | 1696180 | 05 |
| Other Name | Type Code |
|---|---|
| MHP - Lakeshore Campus | 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 |
| 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 |
| 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 |
72 S STATE ST |
| City | SHELBY |
| State | MI |
| Zip Code | 49455-1228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508824277 | Shelby Emergency Services, LLC | Emergency Medicine | 72 S State St, Shelby, MI 49455-1228 | 2006-05-03 |
| 1558608240 | Anne Christine Barton | Registered Nurse | 72 S State St, Shelby, MI 49455-1228 | 2013-01-15 |
| 1346528460 | Emergency Health Partners-lakeshore, Plc | Emergency Medicine | 72 S State St, Shelby, MI 49455-1228 | 2011-07-22 |
| 1831245992 | Hackley Hospital | Clinic/Center | 72 S State St, Shelby, MI 49455-1228 | 2007-01-25 |
| 1639266794 | Lakeshore Emergency Solutions, Pllc | Emergency Medicine | 72 S State St, Lakeshore Emergency Solutions, Pllc, Shelby, MI 49455-1228 | 2006-10-09 |
| 1144237066 | Kelly Delongpre | Emergency Medicine | 72 S State St, Shelby, MI 49455-1228 | 2006-08-02 |
| 1609808658 | Susan Bryan | Nurse Anesthetist, Certified Registered | 72 S State St, Shelby, MI 49455-1228 | 2006-07-07 |
| 1447206313 | Christine Marie Arnold | Dietitian, Registered | 72 S State St, Shelby, MI 49455-1228 | 2006-05-25 |
| 1528011640 | Basilio Ledesma | Emergency Medicine | 72 S State St, Emergency Medicine, Shelby, MI 49455-1228 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013243369 | Rick R. Dayton, Dds PC | Dentist | 218 N. State St., Shelby, MI 49455 | 2009-10-21 |
| 1568499721 | Curtis G Glupker | Specialist | 71 Bevier Street, Shelby, MI 49455 | 2006-06-26 |
| 1780675579 | Julie A Shellhouse | Family Medicine | 71 Bevier St, Shelby, MI 49455 | 2005-11-02 |
| 1407033491 | Jennifer Lynn Flanery | Physician Assistant | 71 Bevier St, Shelby, MI 49455 | 2008-01-22 |
| 1053302810 | Loren S Reed | Surgery | 71 Bevier St, Shelby, MI 49455 | 2005-11-02 |
| 1356367783 | Oceana Home Medical Equipment Plus | Durable Medical Equipment & Medical Supplies | 169 N Michigan Ave, Shelby, MI 49455-1024 | 2006-07-15 |
| 1215014311 | Hometown Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 178 N Michigan Ave, Shelby, MI 49455-1028 | 2006-11-01 |
| 1912943663 | Susan K Radtke | Nurse Practitioner | 218 N Michigan Ave, Shelby, MI 49455-1028 | 2006-06-21 |
| 1912221771 | James W Pancy | Pharmacist | 178 N Michigan Ave, Shelby, MI 49455-1028 | 2010-03-23 |
| 1184840084 | Fred F Grice Jr. | Pharmacist | 178 N Michigan Ave, Shelby, MI 49455-1028 | 2007-04-18 |
| Find all providers in zip 49455 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497742415 | Toole County | General Acute Care Hospital | 640 Park Ave, Shelby, MT 59474-1663 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982154365 | Detroit Medical Center | General Acute Care Hospital | 4713 Pond Run, Canton, MI 48188-2196 | 2016-10-10 |
| 1598147803 | St Joseph Mercy Oakland | General Acute Care Hospital | 874 Golf Dr Apt 101, Pontiac, MI 48341-2394 | 2015-06-23 |
| 1821415811 | Harbor Beach Community Hospital Inc | General Acute Care Hospital | 204 S Huron Ave, Harbor Beach, MI 48441 | 2014-03-27 |
| 1346590882 | Aspirus Ontonagon Hospital, Inc | General Acute Care Hospital | 601 S Seventh St, Ontonagon, MI 49953-1448 | 2012-09-12 |
| 1831454222 | Botsford Hospital | General Acute Care Hospital | 28050 Grand River Ave., Farmington Hills, MI 48336-5919 | 2012-07-11 |
| 1255611497 | Henryford Health System | General Acute Care Hospital | 34824 Birchgrove Dr, H, Sterling Heights, MI 48312-4744 | 2011-08-19 |
| 1992919336 | Francine Greenfield D.d.s., F.a.g.d.corp. | General Acute Care Hospital | 800 W Long Lake Rd, Suite #145, Bloomfield Hills, MI 48302-2056 | 2007-05-09 |
| 1770615668 | Pontiac Osteopathic Hospital | General Acute Care Hospital | 50 N Perry St., Pontiac, MI 48342-2253 | 2007-03-09 |
| 1275695850 | John Dingell Medical Center | General Acute Care Hospital | 14153 Warwick St, Detroit, MI 48223-2950 | 2006-12-14 |
| 1497820526 | Emergency Care Specialists PC | General Acute Care Hospital | 4100 Embassy Dr Se Ste 201, Grand Rapids, MI 49546-2416 | 2006-11-22 |
| 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.