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SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN NPI 1316350192


NPI Information

NPI: 1316350192
Provider Name: SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN

Doing Business As: ST. JOHN EASTSIDE URGENT CARE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 23D0370384

Address:
21000 E 12 MILE RD
SUITE 105
SAINT CLAIR SHORES, MI
ZIP 48081
Phone: (586) 498-3606
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SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN is an urgent care clinic center in Saint Clair Shores, MI. SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN NPI is 1316350192. The provider is registered as an organization entity type.
The provider Is Doing Business As St. John Eastside Urgent Care.

The provider's business location address is:

21000 E 12 MILE RD
SUITE 105
SAINT CLAIR SHORES, MI
ZIP 48081-116
Phone: (586) 498-3606
Fax: (586) 498-3601

The provider's authorized official is Sarah Starkel .
The authorized official title is Supervisor and has the following contact phone number (248) 680-8121.

The CLIA number assigned to this NPI record is 23D0370384 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2014 and was last updated on 11/15/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QU0200XClinic/CenterUrgent CareMICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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