NPIMap

Organization Active NPI

St. Joseph Mercy Hospital

  • General Acute Care Hospital
  • Burtchville, MI
National Provider Identifier
1447543095
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
4704234999 Issued in MI
Legal business name
ST. JOSEPH MERCY HOSPITAL
Practice address
6464 Lakeshore Rd
Burtchville, MI 48059-2557
Phone
(810) 488-0551
NPI assigned
May 16, 2011
Last updated
May 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Authorized official

Name
Mr. Peter Karadjoff
Title
President/Chief Executive Officer
Phone
(810) 985-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 4704234999 MI Primary

Addresses

Primary practice location

6464 Lakeshore Rd
Burtchville, MI 48059-2557

Mailing address

6464 Lakeshore Rd
Burtchville, MI 48059-2557
Phone (810) 488-0551

National Provider Directory

National Provider Directory
Tax ID family
Mercy Internal Med Asso18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1447543095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6464 LAKESHORE RD",
            "city": "BURTCHVILLE",
            "state": "MI",
            "postal_code": "480592557",
            "telephone_number": "810-488-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6464 LAKESHORE RD",
            "city": "BURTCHVILLE",
            "state": "MI",
            "postal_code": "480592557",
            "telephone_number": "810-488-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH MERCY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "KARADJOFF",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT/CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "810-985-1500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MI",
            "license": "4704234999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burtchville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; 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.