St. Mary's of Michigan

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

ST. MARY'S OF MICHIGAN

Practice address

805 West Cedar
Standish, MI 48658

Phone

(989) 846-3407

NPI assigned

Jun 19, 2009

Organization subpart

No

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

Authorized official

Name

Krystal Thelen, MS, RD

Title

Registered Dietitian

Phone

(989) 846-3407

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245369600000",
    "number": "1548497399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W CEDAR ST",
            "city": "STANDISH",
            "state": "MI",
            "postal_code": "486589526",
            "telephone_number": "989-846-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 WEST CEDAR",
            "city": "STANDISH",
            "state": "MI",
            "postal_code": "48658",
            "telephone_number": "989-846-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-19",
        "last_updated": "2009-06-19",
        "status": "A",
        "authorized_official_last_name": "THELEN",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "989-846-3407",
        "authorized_official_credential": "MS, RD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Acute Care Hospital in Standish, MI
• Providers in Standish, MI by specialty
• General Acute Care Hospital in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; 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.