Organization
AAHI ST JOSEPH MERCY HOSPITAL INC
Active
Other names
Ann Arbor Home Infusion Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ARIANA GRACE RAYMOND (MANAGER PROVIDER ENROLLMENT)
(734) 343-1466
Entity
Organization
Contact information
Practice address
5301 EAST HURON RIVER DRIVE, ANN ARBOR, MI 48106
(734) 712-2492
(734) 712-5465
Mailing address
PO BOX 3470, FARMINGTON HILLS, MI 48333-3470
(248) 305-7985
(248) 305-8677
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
5301001628
MI
3336H0001X
Home Infusion Therapy Pharmacy
5301001628
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1557023
—
MI
01
—
2342234
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
4329335
—
MI
01
—
47OH10023
BCBS HIT
MI
01
—
OH104280
BCBS
MI
Enumeration date
11/15/2006
Last updated
05/04/2026
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