| Mercy Memorial Hospital Corporation | |
|
700 Stewart Rd Ste 105 Monroe MI 48162-5304 | |
| (734) 240-1770 | |
| (734) 240-1780 |
| Full Name | Mercy Memorial Hospital Corporation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 700 Stewart Rd, Monroe, Michigan |
| Authorized Official Name and Position | Larry Csokasy (MENTAL HEALTH SERVICES DIRECTOR) |
| Authorized Official Contact | 7342401770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Memorial Hospital Corporation 718 N Macomb St Monroe MI 48162 Ph: (734) 240-8400 | Mercy Memorial Hospital Corporation 700 Stewart Rd Ste 105 Monroe MI 48162-5304 Ph: (734) 240-1770 |
| NPI Number | 1942354873 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 04/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942354873 | NPI | - | NPPES |
| 03533 | Other | MI | PARAMOUNT |
| 4597597 | Other | MI | AETNA |
| 029203 | Other | MI | VAL OPTS |
| 20060 | Other | MI | BC UB |
| 750910950 | Other | MI | BC 1500 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 580030 (Michigan) | Primary |
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