Active NPI
Saint Joseph Mercy Saline Hospital
- General Acute Care Hospital
- Saline, MI
National Provider Identifier
1023041670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- SAINT JOSEPH MERCY SALINE HOSPITAL
- Practice address
- 400 W Russell St
Saline, MI 48176-1183 - Phone
- (734) 429-1500
- NPI assigned
- Jul 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Garry Faja
- Title
- President Ceo
- Phone
- (734) 712-3791
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Primary |
Addresses
Primary practice location
400 W Russell St
Saline, MI 48176-1183
Mailing address
400 W Russell St
Saline, MI 48176-1183
Phone (734) 429-1500
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100012 | Other | MI | CARE CHOICES |
| 2767938 | Medicaid | MI | |
| 00075 | Other | MI | BLUE CROSS AND BCN |
| 2661652 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Hospital certification: CCN 230212
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- SAINT JOSEPH MERCY SALINE HOSPITAL
- Certification status
- Terminated Voluntary: merger or closure, Jul 1, 2012
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Aug 11, 2007
- Beds
- 82
- Ownership / control type
- Church
- Most recent change of ownership
- Jul 1, 1991 (2 total)
- Facility address
- 400 W Russell St
Saline, MI 48176
National Provider Directory
National Provider DirectoryMember 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": "1152316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1023041670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W RUSSELL ST",
"city": "SALINE",
"state": "MI",
"postal_code": "481761183",
"telephone_number": "734-429-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W RUSSELL ST",
"city": "SALINE",
"state": "MI",
"postal_code": "481761183",
"telephone_number": "734-429-1500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAINT JOSEPH MERCY SALINE HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FAJA",
"authorized_official_first_name": "GARRY",
"authorized_official_title_or_position": "PRESIDENT CEO",
"authorized_official_telephone_number": "734-712-3791"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICES",
"identifier": "100012",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2767938",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BCN",
"identifier": "00075",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2661652",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saline, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.