Organization
CHELSEA COMMUNITY HOSPITAL
Active
Organization
CHELSEA COMMUNITY HOSPITAL
Active
Other names
St. Joseph Mercy Chelsea
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GUSHO (REGIONAL CFO SE MI)
(734) 398-0642
Entity
Organization
Contact information
Practice address
775 S MAIN ST, CHELSEA, MI 48118-1370
(734) 475-6914
(734) 475-7549
Mailing address
34505 W 12 MILE RD STE 200, FARMINGTON HILLS, MI 48331-3286
(743) 343-3922
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260H161260
BCBCM GROUP PIN
MI
Enumeration date
06/07/2006
Last updated
11/08/2017
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