1821120551 NPI number — ST JOHN REGIONAL MEDICAL URGENT CARE

Table of content: (NPI 1821120551)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821120551 NPI number — ST JOHN REGIONAL MEDICAL URGENT CARE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ST JOHN REGIONAL MEDICAL URGENT CARE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821120551
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/02/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
28000 DEQUINDRE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WARREN
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48092-2468
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
586-753-0011
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
21000 E 12 MILE RD
Provider Second Line Business Practice Location Address:
STE 102
Provider Business Practice Location Address City Name:
SAINT CLAIR SHORES
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48081-1116
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
586-753-0011
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/09/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MARX
Authorized Official First Name:
TOMASINE
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
313-343-7676

Provider Taxonomy Codes

  • Taxonomy code: 261QU0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0E01554 . This is a "BLUE CARE NETWORK PIN" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".




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