NPIMap

Organization Active NPI

St Joseph Mercy Oakland

  • Critical Access Hospital
  • Pontiac, MI
National Provider Identifier
1598147803
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
4301107314 Issued in MI
Legal business name
ST JOSEPH MERCY OAKLAND
Practice address
874 Golf Dr Apt 101
Pontiac, MI 48341-2394
Phone
(408) 478-5859
NPI assigned
Jun 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Authorized official

Name
Courtney Dolan
Title
Supervisor
Phone
(248) 858-3234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 4301107314 MI Primary

Addresses

Primary practice location

874 Golf Dr Apt 101
Pontiac, MI 48341-2394

Mailing address

874 Golf Dr Apt 101
Pontiac, MI 48341-2394

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1598147803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 GOLF DR APT 101",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483412394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 GOLF DR APT 101",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483412394",
            "telephone_number": "408-478-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPH MERCY OAKLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A",
        "authorized_official_last_name": "DOLAN",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "248-858-3234"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MI",
            "license": "4301107314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.