Organization
ST MARY MERCY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PAUL GUSHO (CFO & TREASURER)
(231) 672-3886
Entity
Organization
Contact information
Practice address
36475 5 MILE RD, LIVONIA, MI 48154-1971
(734) 655-4800
(734) 655-1274
Mailing address
36475 5 MILE RD, LIVONIA, MI 48154-1971
(734) 655-4800
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
820190
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00243
BLUE CROSS ACUTE CARE
MI
05
—
4200538
—
MI
05
—
4200547
—
MI
01
—
700H217250
BLUE SHIELD PHYSICIAN GRO
MI
Enumeration date
07/22/2006
Last updated
03/07/2026
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