Provider Demographics
NPI:1518091115
Name:ST.JOSEPH MERCY HEALTH SYSTEM
Entity Type:Organization
Organization Name:ST.JOSEPH MERCY HEALTH SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAHINA
Authorized Official - Middle Name:ARIF
Authorized Official - Last Name:MOTORWALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:743-712-3935
Mailing Address - Street 1:46451 OVERHILL LN
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48188-6220
Mailing Address - Country:US
Mailing Address - Phone:734-495-1479
Mailing Address - Fax:
Practice Address - Street 1:5301 MCAULEY DR
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1051
Practice Address - Country:US
Practice Address - Phone:734-712-3935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301086219282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital