Mercy Health Pharmacy - Long Term Care
LBN: Trinity Health - Michigan
Mercy Health Pharmacy - Long Term Care is an health care organization with primary practice located at 360 Division Ave S Ste 1C, Grand Rapids MI 49503-4501. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Trinity Health - Michigan can be contacted via phone (616) 685-1100, or through Casalou, Robert via phone (734) 712-3792.
Contact Information
Primary practice address
360 Division Ave S Ste 1C
Grand Rapids MI 49503-4501
Phone: (616) 685-1100
Fax: (616) 685-1196
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 5301005760 | Michigan |
Profile Details
| NPI number | 1295761914 |
|---|---|
| LBN Legal business name | Trinity Health - Michigan |
| DBA Doing business as | Mercy Health Pharmacy - Long Term Care |
| Authorized official | Casalou, Robert |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jun 24th, 2006 |
| Last updated | May 24th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295761914 | NPPES |
| Other | 2042216 | PK | |
| MEDICAID | 4825128 | PK |
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