Organization Name: | SAINT JOSEPH MERCY LIVINGSTON HOSPITAL |
NPI Number: | 1093748642 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL GUSHO (REGIONAL VP BUS & SYS DEVEL) |
Mailing Address: | 620 Byron Rd Howell |
State: | MI US |
Postal Code: | 488431002 |
Phone Number: | 5175456000 |
Fax Number: | |
NPI Enumeration Date: | 07/08/2006 |
NPI Last Update Date: | 01/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |