Organization
ST. JOSEPH MERCY PORT HURTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBEKAH SMITH (PRESIDENT & CEO)
(810) 985-1500
Entity
Organization
Contact information
Practice address
2601 ELECTRIC AVE, PORT HURON, MI 48060-6587
(810) 985-1500
Mailing address
2601 ELECTRIC AVE, PORT HURON, MI 48060-6587
(810) 985-1500
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
740010
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2775205
—
MI
Enumeration date
10/05/2006
Last updated
03/19/2015
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