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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