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SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN NPI 1669885521


NPI Information

NPI: 1669885521
Provider Name: SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN

Doing Business As: ST. JOHN URGENT CARE - CONNER CREEK

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

Specialization: Urgent Care

CLIA Number: 23D1064823

Address:
4777 E OUTER DR
URGENT CARE DEPARTMENT
DETROIT, MI
ZIP 48234
Phone: (313) 369-9100
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SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN is an urgent care clinic center in Detroit, MI. SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN NPI is 1669885521. The provider is registered as an organization entity type.
The provider Is Doing Business As St. John Urgent Care - Conner Creek.

The provider's business location address is:

4777 E OUTER DR
URGENT CARE DEPARTMENT
DETROIT, MI
ZIP 48234-241
Phone: (313) 369-9100
Fax: (313) 369-5688

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 23D1064823 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2014 and was last updated on 3/9/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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: 11/14/2023

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