| St Mary Mercy Hospital | |
|
36475 5 Mile Rd Livonia MI 48154-1971 | |
| (734) 655-4800 | |
| (734) 655-1274 |
| Full Name | St Mary Mercy Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 36475 5 Mile Rd, Livonia, Michigan |
| Authorized Official Name and Position | David Spivey (PRESIDENT & CEO) |
| Authorized Official Contact | 7346551610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Mary Mercy Hospital 36475 5 Mile Rd Livonia MI 48154-1971 Ph: (734) 655-4800 | St Mary Mercy Hospital 36475 5 Mile Rd Livonia MI 48154-1971 Ph: (734) 655-4800 |
| NPI Number | 1093721490 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 11/03/2015 |
| Medicare PECOS PAC ID | 2163323585 |
|---|---|
| Medicare Enrollment ID | O20061214000209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093721490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | H05012006 (Michigan) | Primary |
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