Provider Demographics
NPI:1528556750
Name:SAINT MARY'S HEALTH SERVICES
Entity Type:Organization
Organization Name:SAINT MARY'S HEALTH SERVICES
Other - Org Name:MERCY HEALTH ASTHMA NETWORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR REVENUE MANAGEMENT ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOCKARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-343-0282
Mailing Address - Street 1:150 JEFFERSON AVE SE STE 140
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503-4306
Mailing Address - Country:US
Mailing Address - Phone:616-685-3359
Mailing Address - Fax:
Practice Address - Street 1:150 JEFFERSON AVE SE STE 140
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49503-4306
Practice Address - Country:US
Practice Address - Phone:616-685-3359
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-24
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2278E1000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedEducationalGroup - Single Specialty