Organization
MERCY MEMORIAL HOSPITAL CORPORATION
Active
Parent organization
HOSPITAL
Other names
MOOSA
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOSPITAL
Authorized official
MRS. ANNETTE PHILLIPS (CEO)
(734) 240-8840
Entity
Organization
Contact information
Practice address
718 N MACOMB ST, MONROE, MI 48162-7815
(734) 240-8840
(734) 240-4450
Mailing address
718 N MACOMB ST, MONROE, MI 48162-7815
(734) 240-8840
(734) 240-4450
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4301081240
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080E812180
BLUE CROSS
MI
Enumeration date
04/27/2009
Last updated
04/27/2009
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