OrganizationActive
Bon Secours Place at St. Clair Shores
NPI 1629059563 · Exclusive Provider Organization · St Clair Shores, MI
Provider details
- NPI number
- 1629059563
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Gretchin Mager, Director(586) 498-4501
Specialties & taxonomies
Managed Care Organizations
Practice location
26101 Jefferson Ave
St Clair Shores, MI 48081-2348
Phone: (586) 498-4500
Fax: (586) 498-4599
Approximate (ZIP-level) locationGet directions
Mailing address
26101 Jefferson Ave
St Clair Shores, MI 48081-2348
Registry dates
- Enumerated
- 2005-11-08
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.