ST. JOSEPH MERCY PORT HURTON (NPI# 1326135179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326135179 |
| Entity Type | Organization |
| Organization Name | ST. JOSEPH MERCY PORT HURTON |
| Practice Address |
2601 Electric Ave Port Huron MI 48060-6587 |
| Practice Telephone | 8109851500 |
| Mailing Telephone | 8109851500 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2015-03-19 |
| Authorized Official Name | REBEKAH SMITH (PRESIDENT & CEO) |
| Authorized Official Telephone | 8109851500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 740010 | MI | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2775205 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255346961 | St. Joseph Mercy Port Hurton | General Acute Care Hospital | 2601 Electric Ave, Port Huron, MI 48060-6518 | 2006-07-30 |
| Street Address |
2601 ELECTRIC AVE |
| City | PORT HURON |
| State | MI |
| Zip Code | 48060-6587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174505069 | H Mcdonald Md, PC | Pathology | 2601 Electric Ave, Port Huron, MI 48060-6587 | 2005-11-16 |
| 1902407844 | Prime Healthcare Services-port Huron LLC | Radiology | 2601 Electric Ave, Port Huron, MI 48060-6587 | 2020-11-06 |
| 1013525070 | Serene Anesthesiology Pllc | Anesthesiology | 2601 Electric Ave, Port Huron, MI 48060-6587 | 2020-07-16 |
| 1912525361 | Prime Healthcare Services-port Huron LLC | Nurse Anesthetist, Certified Registered | 2601 Electric Ave, Port Huron, MI 48060-6587 | 2020-07-13 |
| 1306460787 | Kyle W Doyle | Nurse Anesthetist, Certified Registered | 2601 Electric Ave, Port Huron, MI 48060-6587 | 2020-06-02 |
| 1184272817 | Blue Water Rad Onc, LLC | Radiology | 2601 Electric Ave, Port Huron, MI 48060-6587 | 2019-08-27 |
| 1588121685 | Huron Pathology Associates Pllc | Pathology | 2601 Electric Ave, Port Huron, MI 48060-6587 | 2019-02-25 |
| 1922571280 | Caillie Dianne Stephenson | Speech-Language Pathologist | 2601 Electric Ave, Port Huron, MI 48060-6587 | 2019-01-09 |
| 1356812697 | Aaron T Misner | General Practice | 2601 Electric Ave, Port Huron, MI 48060-6587 | 2018-12-16 |
| 1063987410 | Courtney Sherman | Occupational Therapist | 2601 Electric Ave, Port Huron, MI 48060-6587 | 2018-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
| 1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
| 1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
| 1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
| 1326418609 | Jean Burleigh | Chore Provider | 614 Staton, Port Huron, MI 48060 | 2015-09-30 |
| 1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
| 1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
| 1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
| 1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
| 1598092769 | Blue Water Pharmacy LLC | Pharmacy | 1524 10th Street, Port Huron, MI 48060 | 2009-11-10 |
| Find all providers in zip 48060 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356723027 | Prime Healthcare Services-port Huron LLC | Rehabilitation Unit | 2601 Electric Ave, Port Huron, MI 48060-6587 | 2015-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902175805 | Martial Arts Therapy | Rehabilitation Unit | 7800 W Sharpe Rd, Fowlerville, MI 48836-8750 | 2011-12-21 |
| 1295965911 | Theracare Rehab,llc | Rehabilitation Unit | 42456 Cherry Hill Road, Canton, MI 48187-3401 | 2009-07-15 |
| 1063551281 | Universal Rehabilitation Services Inc | Rehabilitation Unit | 26250 Northwestern Hwy, Southfield, MI 48076-3903 | 2007-02-05 |
| 1023107877 | Henry Ford Health System | Rehabilitation Unit | 3601 E 11 Mile Rd, Warren, MI 48092-2878 | 2006-10-12 |
| 1336235498 | Henry Ford Health System | Rehabilitation Unit | 44800 Delco Blvd, Sterling Heights, MI 48313-1026 | 2006-10-05 |
| 1801844220 | Complete Care Rehab LLC | Rehabilitation Unit | 31370 Harper Ave, Saint Clair Shores, MI 48082-2450 | 2006-05-05 |
| 1477512424 | Edward W. Sparrow Hospital Association | Rehabilitation Unit | 1215 E. Michigan Avenue, Lansing, MI 48909-7980 | 2006-03-20 |
| 1801860218 | Mclaren Bay Region | Rehabilitation Unit | 3250 E Midland Rd, Bay City, MI 48706-2835 | 2006-02-14 |
| 1801866942 | St. John Hospital and Medical Center | Rehabilitation Unit | 26755 Ballard St, Harrison Twp, MI 48045-2419 | 2006-01-23 |
| 1598763385 | Tri-county Therapy Center, LLC Dba Valley Hill Therapy Center | Rehabilitation Unit | 43456 Mound Rd, Suite 500, Sterling Heights, MI 48314-2080 | 2005-07-14 |
| Find all providers with the same taxonomy | ||||
| City | PORT HURON |
| Zip Code | 48060 |
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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.