# MERCY MEMORIAL HOSPITAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HOSPITAL
- **Other names:** MOOSA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861636540
- **Legal business name:** HOSPITAL
- **Authorized official:** MRS. ANNETTE PHILLIPS (CEO)
- **Authorized official phone:** (734) 240-8840

## Contact information

- **Practice address:** 718 N MACOMB ST, MONROE, MI 48162-7815
- **Practice address phone:** (734) 240-8840
- **Practice address fax:** (734) 240-4450
- **Mailing address:** 718 N MACOMB ST, MONROE, MI 48162-7815
- **Mailing address phone:** (734) 240-8840
- **Mailing address fax:** (734) 240-4450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 4301081240 | MI | Yes |

## Other

- **Enumeration date:** 04/27/2009
- **Last updated:** 04/27/2009