Provider Demographics
NPI:1508938127
Name:AAHI ST JOSEPH MERCY HOSPITAL INC
Entity Type:Organization
Organization Name:AAHI ST JOSEPH MERCY HOSPITAL INC
Other - Org Name:ANN ARBOR HOME INFUSION PHARMACY
Other - Org Type:Other Name
Authorized Official - Title/Position:GM
Authorized Official - Prefix:
Authorized Official - First Name:DIPAL
Authorized Official - Middle Name:
Authorized Official - Last Name:PARIKH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:734-712-5591
Mailing Address - Street 1:PO BOX 3470
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48333-3470
Mailing Address - Country:US
Mailing Address - Phone:248-305-7985
Mailing Address - Fax:248-305-8677
Practice Address - Street 1:5301 EAST HURON RIVER DRIVE
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48106
Practice Address - Country:US
Practice Address - Phone:734-712-2492
Practice Address - Fax:734-712-5465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251F00000X
MI5301001628332B00000X, 3336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1557023Medicaid
MIOH104280OtherBCBS
MI47OH10023OtherBCBS HIT
MI4329335Medicaid
2342234OtherOTHER ID NUMBER-COMMERCIAL NUMBER
MI1557023Medicaid