NPIMap

Organization Active NPI

Mercy Health Partners

Doing business as MHP - Lakeshore Campus

  • Critical Access Hospital
  • Shelby, MI
National Provider Identifier
1285662981
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
640021 Issued in MI
Legal business name
MERCY HEALTH PARTNERS
Doing business as
MHP - Lakeshore Campus
Trinity Health Shelby Hospital
Practice address
72 S State St
Shelby, MI 49455-1228
Phone
(231) 861-2156
Fax
(231) 861-3028
NPI assigned
Jun 29, 2006
Last updated
Jun 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Mr. Gary E Allore
Title
President
Phone
(231) 672-4809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 640021 MI Primary

Addresses

Primary practice location

72 S State St
Shelby, MI 49455-1228

Mailing address

72 S State St
Shelby, MI 49455-1228
Phone (231) 861-2156

Other identifiers 3

IdentifierTypeStateIssuer
00111OtherMIBCBSM
1696180MedicaidMI
1696161MedicaidMI

Other names 2

  • MHP - Lakeshore Campus Doing business as
  • Trinity Health Shelby Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141010001264 MI Part A Provider - Critical Access Hospital 1456430016 Receives reassigned benefits from 5 practitioners
Practice locations: Shelby, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285662981. Details of each certification follow.

Hospital certification: CCN 231320

Legal name
MERCY HEALTH PARTNERS
Doing business as
TRINITY HEALTH SHELBY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Oct 1, 2004
Last certification
Jan 7, 2016
Beds
24
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jan 1, 2014 (1 total)
Organization structure
CorporationNon-profit
Enrollment address
72 S State St
Shelby, MI 49455-1228
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Mercy Health Lakeshore CampusCCN 231320 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0701567Trinity Health Shelby Hospital72 S State St, Shelby, MI 49455AccreditationJan 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
Mercy Health Partners20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

Member of 1

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

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
William Morris Individual Corporate DirectorBoard Member Mar 1, 2022
Edmund F Hodge Individual Corporate DirectorBoard Member Jan 1, 2019
Spencer T Maidlow Individual Corporate DirectorBoard Member Jan 1, 2019
Michael Williams Individual Corporate DirectorBoard Member Jan 1, 2025
Linda J Werthman Individual Corporate DirectorBoard Member Aug 1, 2020
Sara Dolan Individual Corporate DirectorBoard Member Jan 1, 2025
Suzanne Mellon Individual Corporate DirectorBoard Member Aug 3, 2021
Paula Chermside Individual Corporate DirectorBoard Member Jan 1, 2026
Shannon Striebich Individual Corporate OfficerPresident and Ceo Jul 1, 2024
Corporate DirectorBoard Member Jul 1, 2024
Michael P Gusho Individual Corporate OfficerCfo & Treasurer Jan 4, 2018
Joseph Fleck Individual Corporate DirectorBoard Member Jan 1, 2026
Trinity Health-Michigan Organization, Livonia, MI Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 1, 2008 100%
Daniel G Green Individual Operational/Managerial ControlExecutive With Control Jan 20, 2023
Christian Schafer Individual Corporate OfficerSecretary Jan 1, 2026
Eric C Ferguson Individual Corporate DirectorBoard Member Aug 3, 2021
Gary Edward Allore Individual Contracted Managing EmployeePresident Aug 1, 2012
Corporate OfficerPresident Sep 6, 2017
Operational/Managerial ControlPresident Aug 1, 2012
Trinity Health Corporation Organization, Livonia, MI Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Apr 1, 2008 100%
Jean M Nagelkerk Individual Corporate OfficerVice Chair Jan 1, 2025
Corporate DirectorBoard Member Jan 1, 2019
Wayman P Britt Individual Corporate OfficerChair Jan 1, 2025
Corporate DirectorBoard Member Mar 31, 2019

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 157

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 157

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 298

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 298

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1285662981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 S STATE ST",
            "city": "SHELBY",
            "state": "MI",
            "postal_code": "494551228",
            "telephone_number": "231-861-2156",
            "fax_number": "231-861-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 S STATE ST",
            "city": "SHELBY",
            "state": "MI",
            "postal_code": "494551228",
            "telephone_number": "231-861-2156",
            "fax_number": "231-861-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "ALLORE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-672-4809",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MI",
            "license": "640021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "00111",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1696180",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1696161",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MHP - Lakeshore Campus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MHP - Lakeshore Campus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trinity Health Shelby Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelby, MI

Sources for this page

Verify at the official NPI Registry.