NPIMap

Organization Active NPI

Mercy Memorial Hospital Corporation

  • Community/Behavioral Health Agency
  • Monroe, MI
National Provider Identifier
1942354873
Registry record updated Apr 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
580030 Issued in MI
Legal business name
MERCY MEMORIAL HOSPITAL CORPORATION
Practice address
700 Stewart Rd
Ste 105
Monroe, MI 48162-5304
Phone
(734) 240-1770
Fax
(734) 240-1780
NPI assigned
Jan 22, 2007
Last updated
Apr 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2009

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

Authorized official

Name
Larry Csokasy, LMSWNPI 1649612755
Title
Mental Health Services Director
Phone
(734) 240-1770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 580030 MI Primary

Addresses

Primary practice location

700 Stewart Rd
Ste 105
Monroe, MI 48162-5304

Mailing address

718 N Macomb St
Monroe, MI 48162
Phone (734) 240-8400

Other identifiers 5

IdentifierTypeStateIssuer
20060OtherMIBC UB
03533OtherMIPARAMOUNT
4597597OtherMIAETNA
750910950OtherMIBC 1500
029203OtherMIVAL OPTS

National Provider Directory

National Provider Directory

Locations

700 Stewart Rd
Ste 105
Monroe, MI 48162
Phone (734) 240-1760

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1942354873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 N MACOMB ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "48162",
            "telephone_number": "734-240-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 STEWART RD",
            "address_2": "STE 105",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481625304",
            "telephone_number": "734-240-1770",
            "fax_number": "734-240-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEMORIAL HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "CSOKASY",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "MENTAL HEALTH SERVICES DIRECTOR",
        "authorized_official_telephone_number": "734-240-1770",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "580030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC UB",
            "identifier": "20060",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "03533",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4597597",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC 1500",
            "identifier": "750910950",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VAL OPTS",
            "identifier": "029203",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.