Organization
MERCY MEMORIAL HOSPITAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN SHARP (VP REV CYCLE)
(567) 585-7576
Entity
Organization
Contact information
Practice address
718 N MACOMB ST, MONROE, MI 48162-7815
(734) 240-4440
(734) 240-4450
Mailing address
718 N MACOMB ST, MONROE, MI 48162-7815
(734) 240-4440
(734) 240-4450
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
580030
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00060
BLUE CROSS
MI
05
—
1555600
—
MI
Enumeration date
09/20/2006
Last updated
12/22/2023
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