MERCY HEALTH PARTNERS (NPI# 1326463357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326463357 |
| Entity Type | Organization |
| Organization Name | MERCY HEALTH PARTNERS |
| Other Organization Name | MERCY HEALTH PHYSICIAN PARTNERS - LAKESHORE MEDICAL WHITEHALL |
| Practice Address |
905 E Colby St Whitehall MI 49461-1262 |
| Practice Telephone | 2317285910 |
| Practice Fax Number | 2317285918 |
| Mailing Telephone | 2317285910 |
| Mailing Fax Number | 2317285918 |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2014-05-21 |
| Authorized Official Name | JOHN M BRYAN (CEO) |
| Authorized Official Telephone | 2318613030 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY HEALTH PARTNERS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mercy Health Physician Partners - Lakeshore Medical Whitehall | 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 |
905 E COLBY ST |
| City | WHITEHALL |
| State | MI |
| Zip Code | 49461-1262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912908997 | Jennifer J. Koetje | Physician Assistant | 905 E Colby St, Whitehall, MI 49461-1262 | 2005-08-02 |
| 1801208087 | Mercy Health Partners | Surgery | 905 E Colby St, Whitehall, MI 49461-1262 | 2014-05-22 |
| 1861818379 | Mercy Health Partners | Clinic/Center | 905 E Colby St, Whitehall, MI 49461-1262 | 2014-03-07 |
| 1932403037 | Desiree Lee Elliot | Physician Assistant | 905 E Colby St, Whitehall, MI 49461-1262 | 2011-01-04 |
| 1336385996 | Lakeshore Community Hospital, Inc. | Family Medicine | 905 E Colby St, Whitehall, MI 49461-1262 | 2008-12-31 |
| 1629214739 | Lakeshore Community Hospital, Inc. | Clinic/Center | 905 E Colby St, Whitehall, MI 49461-1262 | 2008-12-18 |
| 1619128873 | Lakeshore Community Hospital, Inc. | Clinic/Center | 905 E Colby St, Whitehall, MI 49461-1262 | 2008-10-07 |
| 1992997647 | Matthew John Roberge | Family Medicine | 905 E Colby St, Whitehall, MI 49461 | 2007-08-16 |
| 1346455888 | Hpcn | Family Medicine | 905 E Colby St, Whitehall, MI 49461-1262 | 2007-05-10 |
| 1578602520 | Hackley Professional Pharmacy | Pharmacy | 905 E Colby St, Whitehall, MI 49461-1262 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720527955 | Wal-mart Stores East, Lp | Technician/Technologist | 2755 W Holton-whitehall Rd, Whitehall, MI 49461 | 2017-02-21 |
| 1720367055 | Jacob Marshall Taylor | Family Medicine | 905 E Colby St Ste 100, Whitehall, MI 49461 | 2011-08-04 |
| 1700982865 | Brent Richard Beacom | Chiropractor | 923 Colby Rd, Whitehall, MI 49461 | 2006-09-16 |
| 1760592539 | Preston Teval Bown | Dentist | 504 E Colby St, Whitchall, MI 49461 | 2006-08-30 |
| 1801821301 | Helena Maria Beacom | Chiropractor | 923 E Colby Rd, Beacom Family Chiropractic, Whitehall, MI 49461 | 2006-07-12 |
| 1710013040 | Ronald A Lehman | Dentist | 116 W Colby St, Suite 1, Whitehall, MI 49461 | 2007-02-23 |
| 1073619136 | Beacom Family Chiropractic Wellness | Chiropractor | 923 Colby Rd, Whitehall, MI 49461 | 2006-09-16 |
| 1649388000 | Pitkin Rexall Drug Company | Pharmacy | 101 W Colby St, Whitehall, MI 49461-1014 | 2006-08-27 |
| 1689690125 | Hackley Hospital | Clinic/Center | 117 W Colby St, Whitehall, MI 49461-1014 | 2006-07-15 |
| 1619344363 | Christie Phillips | Pharmacy Technician | 101 W Colby St, Whitehall, MI 49461-1014 | 2015-08-28 |
| Find all providers in zip 49461 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417201864 | Tri-county Memorial Hospital, Inc. | Clinic/Center | 18606 Ervin St, Whitehall, WI 54773-8613 | 2012-11-07 |
| 1619128873 | Lakeshore Community Hospital, Inc. | Clinic/Center | 905 E Colby St, Whitehall, MI 49461-1262 | 2008-10-07 |
| 1609828151 | Gundersen Clinic, Ltd. | Clinic/Center | 18606 Ervin St, Whitehall, WI 54773-8613 | 2006-05-16 |
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|---|---|---|---|---|
| 1487274940 | Mclaren Central Michigan | Clinic/Center | 2853 Health Pkwy, Mt Pleasant, MI 48858-9374 | 2020-04-24 |
| 1821618687 | Mclaren Central Michigan | Clinic/Center | 3520 N Woodruff Rd, Weidman, MI 48893-7734 | 2020-04-22 |
| 1932747946 | Mckenzie Memorial Hospital | Clinic/Center | 170 W Argyle Street, Sandusky, MI 48471 | 2019-12-20 |
| 1326681461 | Munson Healthcare Charlevoix Hospital | Clinic/Center | 14719 W Upright St, Charlevoix, MI 49720-1949 | 2019-10-22 |
| 1881254605 | Schoolcraft Memorial Hospital | Clinic/Center | W11650 Us Highway 2, Naubinway, MI 49762-5116 | 2019-06-14 |
| 1093370264 | Samaritan Health Care, PC | Clinic/Center | 4361 220th Ave, Reed City, MI 49677-8594 | 2019-05-03 |
| 1457916637 | Samaritan Health Care, PC | Clinic/Center | 5916 Us Highway 31 S, Charlevoix, MI 49720-9703 | 2019-05-03 |
| 1033621263 | Caro Community Hospital | Clinic/Center | 345 N State St, Caro, MI 48723-1537 | 2017-10-27 |
| 1275050726 | Hills & Dales General Hospital, Inc. | Clinic/Center | 130 Millwood Street, Caro, MI 48723-1630 | 2017-08-25 |
| 1275932329 | Sturgis Hospital, Inc. | Clinic/Center | 111 S Saint Joseph St, Colon, MI 49040-9342 | 2014-08-14 |
| 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.