Bon Secours Place at St. Clair Shores
NPI 1629059563ActiveOrganization· Exclusive Provider Organization· St Clair Shores, MI
Exclusive Provider Organization in St Clair Shores, Michigan, registered in NPPES in November 2005. The authorized official on file is Gretchin Mager, Director.
Overview
| NPI | 1629059563 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 8, 2005 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|