Organization Name: | MERCY HOSPITAL GRAYLING |
NPI Number: | 1164663373 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHANIE RIEMER (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 1250 E Michigan Ave Grayling |
State: | MI US |
Postal Code: | 497387074 |
Phone Number: | 9893480500 |
Fax Number: | |
NPI Enumeration Date: | 03/18/2009 |
NPI Last Update Date: | 10/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |