ST. JOHN HOSPITAL AND MEDICAL CENTER NPI 1386892834

NPI Information

NPI: 1386892834
Provider Name: ST. JOHN HOSPITAL AND MEDICAL CENTER

Doing Business As: MASONIC URGENT CARE CENTER

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

Specialization: Urgent Care

Address:
21099 MASONIC BLVD
SAINT CLAIR SHORES, MI
ZIP 48082
Phone: (586) 296-6213
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ST. JOHN HOSPITAL AND MEDICAL CENTER is an urgent care clinic center in Saint Clair Shores, MI. ST. JOHN HOSPITAL AND MEDICAL CENTER NPI is 1386892834. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Masonic Urgent Care Center.

The provider's business location address is:

21099 MASONIC BLVD
SAINT CLAIR SHORES, MI
ZIP 48082-045
Phone: (586) 296-6213
Fax: (586) 296-8180

The provider's authorized official is Jennifer Johnson .
The authorized official title is Director and has the following contact phone number (586) 228-4560.

The enumeration date for this NPI number is 9/8/2008 and was last updated on 12/12/2012.

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
1	207Q00000X	Family Medicine			MICHIGAN	No
2	261QU0200X	Clinic/Center	Urgent Care		MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	700E014700	OTHER	MICHIGAN	BCBS GROUP NUMBER
2	700E031610	OTHER	MICHIGAN	BCBS GROUP NUMBER
3	700E034110	OTHER	MICHIGAN	BCBS GROUP NUMBER
4	MI3971	MEDICARE PIN	MICHIGAN

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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