| Trinity Health Muskegon Hospital | |
|
125 E Southern Ave Ste 120 Muskegon MI 49442-5041 | |
| (231) 672-2000 | |
| Not Available |
| Full Name | Trinity Health Muskegon Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 125 E Southern Ave Ste 120, Muskegon, Michigan |
| Authorized Official Name and Position | Gary Allore (PRESIDENT) |
| Authorized Official Contact | 2317284809 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Health Muskegon Hospital 20555 Victor Pkwy Livonia MI 48152-7031 Ph: (734) 343-3925 | Trinity Health Muskegon Hospital 125 E Southern Ave Ste 120 Muskegon MI 49442-5041 Ph: (231) 672-2000 |
| NPI Number | 1144251489 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 02/06/2023 |
| Certification Date | 02/06/2023 |
| Medicare PECOS PAC ID | 1456430016 |
|---|---|
| Medicare Enrollment ID | O20140903001545 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144251489 | NPI | - | NPPES |
| 0066 | Medicaid | MI | |
| 5170747 | Medicaid | MI | |
| 00066 | Other | MI | BCBSM |
| 1557275 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | H012/2000 (Michigan) | Primary |
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