Organization
SAINT JOSEPH MERCY SALINE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARRY FAJA (PRESIDENT CEO)
(734) 712-3791
Entity
Organization
Contact information
Practice address
400 W RUSSELL ST, SALINE, MI 48176-1183
(734) 429-1500
Mailing address
400 W RUSSELL ST, SALINE, MI 48176-1183
(734) 429-1500
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00075
BLUE CROSS AND BCN
MI
01
—
100012
CARE CHOICES
MI
05
—
2661652
—
MI
05
—
2767938
—
MI
Enumeration date
07/08/2006
Last updated
08/22/2020
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