Mercy Physician Network

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

4704226766 Issued in MI

Legal business name

MERCY PHYSICIAN NETWORK

Doing business as

Mercy Grayling

Practice address

2585 W Houghton Lake Drive
Prudenville, MI 48651

Phone

(989) 366-2900

Fax

(989) 366-1166

NPI assigned

Sep 25, 2012

Organization subpart

Yes

Parent organization

YESAs reported in NPPES

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

Authorized official

Name

Mrs. Hayley Baker, NP

Title

Nurse Practioner

Phone

(989) 366-2900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mercy Grayling Doing business as

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1083965404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 W HOUGHTON LAKE DR",
            "city": "PRUDENVILLE",
            "state": "MI",
            "postal_code": "486519624",
            "telephone_number": "989-366-2900",
            "fax_number": "989-366-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 W HOUGHTON LAKE DRIVE",
            "city": "PRUDENVILLE",
            "state": "MI",
            "postal_code": "48651",
            "telephone_number": "989-366-2900",
            "fax_number": "989-366-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY PHYSICIAN NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YES",
        "enumeration_date": "2012-09-25",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "HAYLEY",
        "authorized_official_title_or_position": "NURSE PRACTIONER",
        "authorized_official_telephone_number": "989-366-2900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4704226766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1942519525",
            "identifier": "BOYSCOUT2",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Grayling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• McLaren Bay Region
• McLaren Primary Care
• Jamie Alison Mead, LLMSW
• Tracy Meehleder
• Mercy Hospital Grayling
• Mercy Physician Network
• Melissa Merritt
• Alexandria Caroline Metcalf
• MHSN Primary Care Services
• MHSN Primary Care Services

• Primary Care Clinic/Center in Prudenville, MI
• Providers in Prudenville, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.