NPIMap

Organization Active NPI

Mercy Hospital Cadillac

  • General Acute Care Hospital
  • Cadillac, MI
National Provider Identifier
1003908625
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
MERCY HOSPITAL CADILLAC
Practice address
400 Hobart St
Cadillac, MI 49601-2331
Phone
(231) 876-7200
Fax
(231) 876-7176
NPI assigned
Sep 29, 2006
Organization subpart
Yes
Parent organization
TRINITY HEALTH-MICHIGANAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John L. Macleod
Title
Ceo
Phone
(231) 876-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X MI Primary

Addresses

Primary practice location

400 Hobart St
Cadillac, MI 49601-2331

Mailing address

PO Box 369
Cadillac, MI 49601-0369
Phone (231) 876-7200

Other identifiers 3

IdentifierTypeStateIssuer
40-5171323MedicaidMI
00096OtherMIBLUE CROSS
30-1558737MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
Munson Healthcare Cadillac8 organizations share this tax ID, including this one
Part of
Mercy Health Services

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003908625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496010369",
            "telephone_number": "231-876-7200",
            "fax_number": "231-876-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HOBART ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012331",
            "telephone_number": "231-876-7200",
            "fax_number": "231-876-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL CADILLAC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY HEALTH-MICHIGAN",
        "enumeration_date": "2006-09-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MACLEOD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "231-876-7200"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40-5171323",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00096",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30-1558737",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.