MERCY HEALTH PARTNERS (NPI# 1588080030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588080030 |
| Entity Type | Organization |
| Organization Name | MERCY HEALTH PARTNERS |
| Other Organization Name | MERCY HEALTH PHYSICIAN PARTNERS - LAKESHORE MEDICAL SHELBY |
| Practice Address |
71 Bevier St Shelby MI 49455-1209 |
| Practice Telephone | 2318612187 |
| Practice Fax Number | 2318615100 |
| Mailing Telephone | 2318612187 |
| Mailing Fax Number | 2318615100 |
| Enumeration Date | 2014-03-07 |
| 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 Shelby | 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 |
71 BEVIER ST |
| City | SHELBY |
| State | MI |
| Zip Code | 49455-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780675579 | Julie A Shellhouse | Family Medicine | 71 Bevier St, Shelby, MI 49455 | 2005-11-02 |
| 1184264327 | Daniel James Erickson | Physician Assistant | 71 Bevier St, Shelby, MI 49455-1209 | 2020-01-15 |
| 1982134482 | Christopher Charles Wagner | Family Medicine | 71 Bevier St, Shelby, MI 49455-1209 | 2017-06-16 |
| 1083160246 | Melvin Michael Vallette | Nurse Practitioner | 71 Bevier St, Shelby, MI 49455-1209 | 2016-08-28 |
| 1174904429 | Melissa J Wiegand | Nurse Practitioner | 71 Bevier St, Shelby, MI 49455-1209 | 2015-06-12 |
| 1700201712 | Mercy Health Partners | Surgery | 71 Bevier St, Shelby, MI 49455-1209 | 2014-02-27 |
| 1093144123 | Ann Marie Nienhuis | Nurse Practitioner | 71 Bevier St, Shelby, MI 49455-1209 | 2013-11-08 |
| 1770863839 | Lakeshore Community Hospital Inc | Family Medicine | 71 Bevier St, Shelby, MI 49455-1209 | 2011-08-22 |
| 1467732537 | Lakeshore Community Hospital, Inc. | Family Medicine | 71 Bevier St, Shelby, MI 49455-1239 | 2011-08-22 |
| 1407099393 | Lakeshore Community Hospital, Inc | Clinic/Center | 71 Bevier St, Shelby, MI 49455-1239 | 2009-04-08 |
| Find all providers in the same location | ||||
| 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 |
| 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 |
| 1891818985 | Lori Ann Kleinjans | Pharmacist | 178 N Michigan Ave, Shelby, MI 49455-1028 | 2007-04-06 |
| 1598806242 | Rebecca Lynn Smith | Pharmacy Technician | 178 N Michigan Ave, Shelby, MI 49455-1028 | 2007-02-08 |
| 1518020585 | Hpcn | Family Medicine | 218 N Michigan Ave, Shelby, MI 49455-1028 | 2006-12-19 |
| Find all providers in zip 49455 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598904377 | Hl Campbell Rural Health Clinic | Clinic/Center | 901 Forest Street, Shelby, MS 38774 | 2009-02-18 |
| 1316054034 | Shelby County Chris A Myrtue Memorial Hospital | Clinic/Center | 301 East Street, Shelby, IA 51570-3319 | 2006-08-25 |
| 1528046513 | Cleco Primary Care Network | Clinic/Center | 808 Schenck Street, Shelby, NC 28150 | 2006-01-09 |
| 1508363060 | Delta Medical Foundation | Clinic/Center | 1209 Broadway St, Shelby, MS 38774-0269 | 2018-04-11 |
| 1407099393 | Lakeshore Community Hospital, Inc | Clinic/Center | 71 Bevier St, Shelby, MI 49455-1239 | 2009-04-08 |
| 1982855144 | Lakeshore Community Hospital, Inc. | Clinic/Center | 71 Bevier St, Shelby, MI 49455-1209 | 2008-10-07 |
| 1689759169 | Shelby County Chris A. Myrtue Memorial Hospital | Clinic/Center | 301 East Street, Shelby, IA 51570 | 2006-10-25 |
| 1669443487 | Cleco Primary Care Network | Clinic/Center | 808 Schenck Street, Shelby, NC 28150 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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.