Organization
MERCY HEALTH PARTNERS - PHYSICIAN SPECIALIST
Active
Parent organization
MERCY HEALTH PARTNERS
Other names
Trinity Health Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY HEALTH PARTNERS
Authorized official
MICHAEL GUSHO (CHIEF FINANCIAL OFFICER)
(734) 398-0642
Entity
Organization
Contact information
Practice address
1675 LEAHY ST STE 324B, MUSKEGON, MI 49442-5500
(231) 672-8700
Mailing address
PO BOX 776982, CHICAGO, IL 60677-6982
(800) 494-5797
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
MI
207RG0100X
Gastroenterology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500F10015
BCBS MID-LEVELS
MI
01
—
700F10016
BCBS
MI
01
—
MI1763
MEDICARE PTAN
MI
Enumeration date
03/05/2009
Last updated
03/05/2026
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