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Organization
ST MARY MERCY HOSPITAL PROFESSIONAL
Active
Organization
ST MARY MERCY HOSPITAL PROFESSIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SPIVEY (PRESIDENT & CEO)
(734) 655-1610
Entity
Organization
Contact information
Practice address
36475 5 MILE RD, LIVONIA, MI 48154-1971
(734) 655-4800
(734) 655-2609
Mailing address
36475 5 MILE RD, LIVONIA, MI 48154-1971
(734) 655-4800
(734) 655-2609
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
820190
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700H233580
BLUE SHIELD
MI
01
—
DN7415
RAILROAD MEDICARE PIN
MI
Enumeration date
11/01/2006
Last updated
11/03/2015
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