Organization
SAINT JOSEPH LIVINGSTON HOSPITAL
Active
Other names
Trinity Health - Michigan
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PAUL GUSHO (REGIONAL CFO)
(231) 672-3886
Entity
Organization
Contact information
Practice address
2300 GENOA BUSINESS PARK DR STE 180, BRIGHTON, MI 48114-7374
(734) 786-2300
Mailing address
620 BYRON RD, HOWELL, MI 48843-1002
(517) 545-6000
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
470079
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20210
BLUE CROSS OP SUB ABUSE
MI
Enumeration date
07/05/2007
Last updated
08/30/2022
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