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Contact Information

ST JOSEPH MERCY HOSPITAL
2200 N CANTON CENTER RD
SUITE 200B
CANTON, MI48187-5065
 Phone: 734-981-3800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Marriage & Family Therapist

106H00000X
 

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ST JOSEPH MERCY HOSPITAL

NPI # 1043424690
LBN Legal business name ST JOSEPH MERCY HOSPITAL
Authorized official MICHAEL GUSHO - (CFO SE MI REGION)
Entity Organization
Organization subpart 1 No
Enumeration date 05/10/2007
Last updated 10/05/2017 - About 9 years ago
Identifiers
MI Other 10434 BLUE CROSS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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