Provider Type Icon

ST. JOHN PROVIDENCE HEALTH SYSTEM NPI 1154612745


NPI Information

NPI: 1154612745
Provider Name: ST. JOHN PROVIDENCE HEALTH SYSTEM

Other Name: ST. JOHN MACOMB HOSPITAL

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
11800 E 12 MILE RD
WARREN, MI
ZIP 48093
Phone: (586) 573-5872
Get Directions

ST. JOHN PROVIDENCE HEALTH SYSTEM is a general acute care hospital in Warren, MI. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. ST. JOHN PROVIDENCE HEALTH SYSTEM NPI is 1154612745. The provider is registered as an organization entity type.
The provider Other Name Is St. John Macomb Hospital.

The provider's business location address is:

11800 E 12 MILE RD
WARREN, MI
ZIP 48093-472
Phone: (586) 573-5872
Fax: (586) 573-5583

The provider's authorized official is Christina Maria Pope .
The authorized official title is Behavioral Health Intake Clinician and has the following contact phone number (586) 573-5872.

The enumeration date for this NPI number is 4/29/2011 and was last updated on 4/29/2011.


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
1282N00000XGeneral Acute Care Hospital6401007085MICHIGANYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.