Saint Mary's Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

4704235109 Issued in MI

Legal business name

SAINT MARY'S HOSPITAL

Practice address

200 Jefferson Lacks Cancer Center
Grand Rapids, MI 49503

Phone

(616) 752-5828

NPI assigned

Aug 14, 2007

Last updated

Aug 14, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Laura Lynn Gelderloos, RN, CFNP

Title

Nurse Practitioner

Phone

(616) 485-2792

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1184816183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7477 CROOKED CREEK DR SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158136",
            "telephone_number": "616-485-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JEFFERSON LACKS CANCER CENTER",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49503",
            "telephone_number": "616-752-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT MARY'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "GELDERLOOS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "616-485-2792",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, CFNP"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MI",
            "license": "4704235109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saint Mary's Health Services
• Saint Mary's Health Services (Saint Mary's Health Care)
• Saint Mary's Health Services
• Saint Mary's Health Services (Mercy Health Asthma Network)
• Saint Mary's Health Services (Mercy Health Saint Mary's)
• Saint Mary's Hospital
• Saint Marys Family Pharmacy (Mercy Health Pharmacy-Cathedral Square)
• Saint Marys Family Pharmacy-Wege Center (Mercy Health Pharmacy - Wege Center)
• Saint Marys Home Infusion Program (Saint Mary's Home Infusion Prog)
• Keerthi Kiran Sajja, DO

• General Acute Care Hospital in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• General Acute Care Hospital in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.