NPIMap

Organization Active NPI

Wexford Mercy Pho

  • Case Management Agency
  • Cadillac, MI
National Provider Identifier
1922365014
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
WEXFORD MERCY PHO
Practice address
117 N Mitchell St
Ste. 6
Cadillac, MI 49601-1884
Phone
(231) 876-7139
Fax
(231) 775-4187
NPI assigned
Apr 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Authorized official

Name
Ms. Beth Oberhaus, RN, BSN, MBA, PMP
Title
Clinical Operations Director
Phone
(231) 876-7362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

117 N Mitchell St
Ste. 6
Cadillac, MI 49601-1884

Mailing address

117 N Mitchell St
Ste. 6
Cadillac, MI 49601-1884
Phone (231) 876-7139

National Provider Directory

National Provider Directory
Tax ID family
Wexford Mercy Pho2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

117 N Mitchell St
Ste 6
Cadillac, MI 49601
Phone (231) 876-7139

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1922365014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N MITCHELL ST",
            "address_2": "STE. 6",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496011884",
            "telephone_number": "231-876-7139",
            "fax_number": "231-775-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N MITCHELL ST",
            "address_2": "STE. 6",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496011884",
            "telephone_number": "231-876-7139",
            "fax_number": "231-775-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEXFORD MERCY PHO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "OBERHAUS",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "CLINICAL OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "231-876-7362",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BSN, MBA, PMP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.