Organization
HACKLEY HOSPITAL FISCAL SERVICES
Active
Parent organization
MERCY HEALTH PARTNERS
Other names
INFECTIOUS DISEASE CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY HEALTH PARTNERS
Authorized official
MICHELLE LOHMAN (DIR PHYSICIAN FINAN SERVICE)
(231) 727-4499
Entity
Organization
Contact information
Practice address
1700 CLINTON ST, MUSKEGON, MI 49442-5502
(231) 728-4813
Mailing address
PO BOX 1177, MUSKEGON, MI 49443-1177
(231) 727-4444
(231) 727-4451
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0618689
MEDICARE
MI
Enumeration date
05/16/2006
Last updated
01/19/2009
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