Active NPI
Mercy Surgery Care Network
Doing business as Mercy Community Care
- Primary Care Clinic/Center
- Port Huron, MI
National Provider Identifier
1477968311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- MERCY SURGERY CARE NETWORK
- Doing business as
- Mercy Community Care
- Practice address
- 3110 Goulden St
Port Huron, MI 48060-6934 - Phone
- (810) 985-4747
- NPI assigned
- Jun 30, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebekah Smith
- Title
- Ceo
- Phone
- (810) 985-1500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
3110 Goulden St
Port Huron, MI 48060-6934
Mailing address
PO Box 610669
Port Huron, MI 48061-0669
Phone (810) 985-1884
Other names 1
- Mercy Community Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404086400000",
"number": "1477968311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 610669",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480610669",
"telephone_number": "810-985-1884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3110 GOULDEN ST",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480606934",
"telephone_number": "810-985-4747"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY SURGERY CARE NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-30",
"last_updated": "2014-06-30",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "REBEKAH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "810-985-1500"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mercy Community Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Port Huron, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.