NPIMap

Organization Active NPI

Mercy Health Partners

  • Family Medicine Physician
  • Caledonia, MI
National Provider Identifier
1336764232
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MERCY HEALTH PARTNERS
Practice address
7105 Broadmoor Ave SE
Caledonia, MI 49316-9510
Phone
(616) 685-7900
Fax
(616) 685-7909
NPI assigned
Jun 16, 2020
Organization subpart
Yes
Parent organization
MERCY HEALTH PARTNERSAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Betty Eller
Title
Credentailing Coordinator
Phone
(231) 672-2120

National Provider Directory

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

Other organizations with this tax ID 19

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

View all 19

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

7105 Broadmoor Ave SE
Caledonia, MI 49316-9510

Mailing address

7105 Broadmoor Ave SE
Caledonia, MI 49316-9510
Phone (616) 685-7900

Other names 1

NPPES NPI Registry
  • Business Health Solutions - Broadmoor Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 16, 2020.

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1336764232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7105 BROADMOOR AVE SE",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493169510",
            "telephone_number": "616-685-7900",
            "fax_number": "616-685-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105 BROADMOOR AVE SE",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493169510",
            "telephone_number": "616-685-7900",
            "fax_number": "616-685-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH PARTNERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HEALTH PARTNERS",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "ELLER",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "CREDENTAILING COORDINATOR",
        "authorized_official_telephone_number": "231-672-2120"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Business Health Solutions - Broadmoor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caledonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.