# ST JOSEPH MERCY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184743866
- **Authorized official:** ARIANA GRACE RAYMOND (MANAGER PROVIDER ENROLLMENT)
- **Authorized official phone:** (734) 343-1466

## Contact information

- **Practice address:** 1600 S CANTON CENTER RD, CANTON, MI 48188-1992
- **Practice address phone:** (734) 995-3764
- **Mailing address:** 34505 W 12 MILE RD STE 200, FARMINGTON HILLS, MI 48331-3286
- **Mailing address phone:** (734) 343-3922

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 05/05/2026