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ST JOHN HOSPITAL AND MEDICAL CENTER NPI 1780854174


NPI Information

NPI: 1780854174
Provider Name: ST JOHN HOSPITAL AND MEDICAL CENTER
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
24911 LITTLE MACK AVE
SUITE C
SAINT CLAIR SHORES, MI
ZIP 48080
Phone: (586) 447-9081
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ST JOHN HOSPITAL AND MEDICAL CENTER is a family medicine in Saint Clair Shores, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ST JOHN HOSPITAL AND MEDICAL CENTER NPI is 1780854174. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

24911 LITTLE MACK AVE
SUITE C
SAINT CLAIR SHORES, MI
ZIP 48080-200
Phone: (586) 447-9081

The provider's authorized official is Kenneth Bollin .
The authorized official title is Chief Of The Department Of Fm and has the following contact phone number (586) 447-9081.

The enumeration date for this NPI number is 3/3/2008 and was last updated on 3/3/2008.


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
1207Q00000XFamily Medicine4301088641MICHIGANYes

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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