Mercy Hospital Grayling

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

MERCY HOSPITAL GRAYLING

Doing business as

Mercy Family Care Roscommon

Practice address

234 Lake St
Roscommon, MI 48653-9203

Phone

(989) 275-1200

NPI assigned

Mar 18, 2009

Last updated

Oct 8, 2013By 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

Stephanie Riemer

Title

Chief Executive Officer

Phone

(989) 348-5461

Specialties & licenses 5

Addresses

Other names 1

• Mercy Family Care Roscommon Doing business as

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1437390648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 647",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497380647",
            "telephone_number": "989-348-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 LAKE ST",
            "city": "ROSCOMMON",
            "state": "MI",
            "postal_code": "486539203",
            "telephone_number": "989-275-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL GRAYLING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "RIEMER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "989-348-5461"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Family Care Roscommon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Frederick Locke Lawrence III, M.D.
• Lindsey Derousse Counseling, LLC
• Douglas C Mackintosh, PT
• Tara Mallory
• Kalli Martin
• MHSN Roscommon Mpca
• MHSN Roscommon Mpca
• Midmichigan Health Services (Northern Michigan Children's Assessment Center)
• Midmichigan Health Services (MidMichigan Health Services Gerrish Higgins Community Schools)
• Midmichigan Health Services (MidMichigan Medical Offices - Roscommon)

• Rural Health Clinic/Center in Roscommon, MI
• Providers in Roscommon, MI by specialty
• Rural Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.