Organization Active NPI

Mercy Hospital Cadillac

Doing business as Mercy Cadillac Physician Network

  • Rural Health Clinic/Center
  • McBain, MI
National Provider Identifier
1609213222
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MERCY HOSPITAL CADILLAC
Doing business as
Mercy Cadillac Physician Network
Practice address
100 N Roland St
MC Bain, MI 49657-9683
Phone
(231) 876-6200
NPI assigned
May 23, 2013
Last updated
May 23, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
TRINITY HEALTH-MICHIGANAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Authorized official

Name
John L. Macleod
Title
Ceo
Phone
(231) 876-7200

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary
Adult Health Nurse Practitioner 363LA2200X NU
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

100 N Roland St
MC Bain, MI 49657-9683

Mailing address

PO Box 533
Grayling, MI 49738-0533
Phone (231) 876-7234

Other names 1

  • Mercy Cadillac Physician Network Doing business as

National Provider Directory

National Provider Directory
Part of
Mercy Health Center

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1609213222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 533",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497380533",
            "telephone_number": "231-876-7234",
            "fax_number": "231-876-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N ROLAND ST",
            "city": "MC BAIN",
            "state": "MI",
            "postal_code": "496579683",
            "telephone_number": "231-876-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL CADILLAC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY HEALTH-MICHIGAN",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "MACLEOD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "231-876-7200"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Cadillac Physician Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McBain, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.