# MERCY HOSPITAL CADILLAC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TRINITY HEALTH-MICHIGAN
- **Other names:** Mercy Cadillac Physician Network
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609213222
- **Legal business name:** TRINITY HEALTH-MICHIGAN
- **Authorized official:** JOHN L. MACLEOD (CEO)
- **Authorized official phone:** (231) 876-7200

## Contact information

- **Practice address:** 100 N ROLAND ST, MC BAIN, MI 49657-9683
- **Practice address phone:** (231) 876-6200
- **Mailing address:** PO BOX 533, GRAYLING, MI 49738-0533
- **Mailing address phone:** (231) 876-7234
- **Mailing address fax:** (231) 876-7176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/23/2013
- **Last updated:** 05/23/2013
