Mercy Health

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

5601007498 Issued in MI

Legal business name

MERCY HEALTH

Practice address

420 Whitehall Rd
North Muskegon, MI 49445-3299

Phone

(231) 744-4743

NPI assigned

Sep 1, 2015

Last updated

Sep 1, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

TRINITY HEALTHAs reported in NPPES

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

Authorized official

Name

Andrea Slagh

Title

Credentialing Coordinator

Phone

(231) 728-1663

Specialties & licenses 1

Addresses

Part of

Mercy General Phys Netw

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1548637986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 WHITEHALL RD",
            "city": "NORTH MUSKEGON",
            "state": "MI",
            "postal_code": "494453299",
            "telephone_number": "231-744-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 WHITEHALL RD",
            "city": "NORTH MUSKEGON",
            "state": "MI",
            "postal_code": "494453299",
            "telephone_number": "231-744-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY HEALTH",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "SLAGH",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "231-728-1663"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "5601007498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in North Muskegon, MI
• Providers in North Muskegon, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.