ST JOHN REGIONAL MEDICAL URGENT CARE NPI 1821120551

NPI Information

NPI: 1821120551
Provider Name: ST JOHN REGIONAL MEDICAL URGENT CARE
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
21000 E 12 MILE RD
STE 102
SAINT CLAIR SHORES, MI
ZIP 48081
Phone: (586) 753-0011
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ST JOHN REGIONAL MEDICAL URGENT CARE is an urgent care clinic center in Saint Clair Shores, MI. ST JOHN REGIONAL MEDICAL URGENT CARE NPI is 1821120551. The provider is registered as an organization entity type.

The provider's business location address is:

21000 E 12 MILE RD
STE 102
SAINT CLAIR SHORES, MI
ZIP 48081-116
Phone: (586) 753-0011

The provider's authorized official is Tomasine Marx .
The authorized official title is Cfo and has the following contact phone number (313) 343-7676.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 12/2/2010.

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	261QU0200X	Clinic/Center	Urgent Care			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	0E01554	OTHER	MICHIGAN	BLUE CARE NETWORK PIN

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: 4/28/2024

NPI Synchronization or Removal

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