# WEXFORD MERCY PHO

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

## Provider details

- **NPI number:** 1922365014
- **Authorized official:** MS. BETH OBERHAUS RN, BSN, MBA, PMP (CLINICAL OPERATIONS DIRECTOR)
- **Authorized official phone:** (231) 876-7362

## Contact information

- **Practice address:** 117 N MITCHELL ST, STE. 6, CADILLAC, MI 49601-1884
- **Practice address phone:** (231) 876-7139
- **Practice address fax:** (231) 775-4187
- **Mailing address:** 117 N MITCHELL ST, STE. 6, CADILLAC, MI 49601-1884
- **Mailing address phone:** (231) 876-7139
- **Mailing address fax:** (231) 775-4187

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/13/2012
- **Last updated:** 11/16/2016