| St Joseph Mercy Hospital | |
|
5301 E Huron River Dr Ypsilanti MI 48197-1051 | |
| (734) 712-3456 | |
| Not Available |
| Full Name | St Joseph Mercy Hospital |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 5301 E Huron River Dr, Ypsilanti, Michigan |
| Authorized Official Name and Position | Michael P Gusho (CFO SE MI REGION) |
| Authorized Official Contact | 2488586174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Joseph Mercy Hospital 20555 Victor Pkwy Livonia MI 48152-7031 Ph: (734) 712-3456 | St Joseph Mercy Hospital 5301 E Huron River Dr Ypsilanti MI 48197-1051 Ph: (734) 712-3456 |
| NPI Number | 1841318714 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 07/02/2024 |
| Certification Date | 07/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841318714 | NPI | - | NPPES |
| 260H161690 | Other | MI | BS BCN BEH SVCS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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