Organization
ST JOSEPH MERCY HOSPITAL-SMHC
Active
Parent organization
TRINITY HEALTH MICHIGAN
Other names
St Joseph Mercy Oakland
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRINITY HEALTH MICHIGAN
Authorized official
MR. MICHAEL P GUSHO (CFO)
(231) 672-3886
Entity
Organization
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-3000
Mailing address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-3000
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
H047
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1557533
—
MI
01
—
20008
BLUE CROSS IP/OP SUB ABUS
MI
05
—
5172026
—
MI
Enumeration date
06/28/2006
Last updated
07/01/2024
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