Organization
ST MARY MERCY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL PAUL GUSHO (CHEIF FINANCIAL OFFICER)
(734) 655-2909
Entity
Organization
Contact information
Practice address
36475 5 MILE RD, LIVONIA, MI 48154-1971
(735) 655-4800
(734) 655-2609
Mailing address
36475 FIVE MILE ROAD, LIVONIA, MI 48154-9978
(735) 655-4800
(734) 655-2609
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00243
BCBSM ACUTE CARE
MI
05
—
4200538
—
MI
05
—
4200547
—
MI
Enumeration date
12/14/2006
Last updated
07/17/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up