ST JOHN HEALTH SYSTEM (NPI# 1033270426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033270426 |
| Entity Type | Organization |
| Organization Name | ST JOHN HEALTH SYSTEM |
| Practice Address |
4777 E Outer Dr Detroit MI 48234-3241 |
| Mailing Address |
2251 St Clair Ave Windsor ON N9B3W4 CA |
| Practice Telephone | 3133695689 |
| Practice Fax Number | 3133695688 |
| Mailing Telephone | 5199721716 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ERIC HERRERA (PHYSICIAN) |
| Authorized Official Telephone | 3133188804 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 5601004646 | MI | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508226507 | St John Health System | Clinic/Center | 1717b S Utica Ave, Suite 205, Tulsa, OK 74104-5333 | 2016-03-03 |
| 1255451456 | St John Health System | Surgery | 27483 Dequindre Rd, Suite 306, Madison Heights, MI 48071-3491 | 2007-03-30 |
| Street Address |
4777 E OUTER DR |
| City | DETROIT |
| State | MI |
| Zip Code | 48234-3241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841230745 | Carla M Smith | Social Worker | 4777 E Outer Dr, Ste 183, Detroit, MI 48234-3241 | 2006-06-08 |
| 1962018457 | A Baby's Life, LLC | Case Management | 4777 E Outer Dr, Detroit, MI 48234-3241 | 2020-09-20 |
| 1154933265 | Healing House, LLC | Community/Behavioral Health | 4777 E Outer Dr, Detroit, MI 48234-3241 | 2020-08-19 |
| 1063063295 | Allison Jay | Dietitian, Registered | 4777 E Outer Dr, Detroit, MI 48234-3241 | 2019-09-29 |
| 1063069359 | Faster Care Connor Creek, Pllc | Internal Medicine | 4777 E Outer Dr, Detroit, MI 48234-3241 | 2019-08-21 |
| 1699335562 | Sidney Sharee-celestine Sparks | Social Worker | 4777 E Outer Dr, Detroit, MI 48234-3241 | 2019-06-13 |
| 1417420514 | Alyssia Chantel Hence | Social Worker | 4777 E Outer Dr, Detroit, MI 48234-3241 | 2019-01-10 |
| 1164917639 | Conner Creek Life Solutions LLC | Substance Abuse Rehabilitation Facility | 4777 E Outer Dr, Detroit, MI 48234-3241 | 2018-06-27 |
| 1790292928 | Golden Point Community LLC | Assisted Living Facility | 4777 E Outer Dr, Detroit, MI 48234-3241 | 2018-01-09 |
| 1154850543 | Stephanie Graves | Social Worker | 4777 E Outer Dr, Detroit, MI 48234-3241 | 2017-06-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205332483 | Bryce Xavier Bredell | Student in an Organized Health Care Education/Training Program | 6071 E Outer Dr, Detroit, MI 48234 | 2018-04-05 |
| 1538668595 | Constance Durden | Social Worker | 19940 Conant Suite B, Detroit, MI 48234 | 2018-02-06 |
| 1891217717 | Donald Williams | Case Manager/Care Coordinator | 19133 Hasse, Detroit, MI 48234 | 2017-07-12 |
| 1063865830 | Gloria A. Love | Psychologist | 19677 Revere, Detroit, MI 48234 | 2016-07-18 |
| 1972977429 | Conant Garden Dental Center Dds PC | Dentist | 2430 E Seven Mile, Suite 6, Detroit, MI 48234 | 2015-11-20 |
| 1861878787 | Kenyatta Philips | Chore Provider | 20119 Helen St, Detroit, MI - MICHIGAN 48234 | 2015-08-03 |
| 1083977144 | Edward Powell | Counselor | 19436 Packard Street, Detroit, MI 48234 | 2012-06-22 |
| 1487931325 | Sonia Renee George | Case Manager/Care Coordinator | 8331 Yolanda St., Detroit, MI 48234 | 2011-11-07 |
| 1851682215 | Detroit Rescue Mission Ministries | Substance Abuse Rehabilitation Facility | 19211 Anglin, Detroit, MI 48234 | 2011-04-20 |
| 1558662742 | Tenille Daniel | Home Health | 17210 Runyon, Detroit, MI 48234 | 2010-11-04 |
| Find all providers in zip 48234 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740899194 | Ascension Michigan Employer Solutions LLC | General Acute Care Hospital | 5555 Conner St Ste 2818, Detroit, MI 48213-3448 | 2020-07-30 |
| 1043551146 | Detroit Medical Center | General Acute Care Hospital | 3990 John R Rd, Detroit, MI 48201 | 2013-03-14 |
| 1346511151 | Sara Goldgraben | General Acute Care Hospital | 540 E. Canfield, Department of Radiation Oncology, Detroit, MI 48201 | 2012-01-25 |
| 1174837686 | Detroit Medical Center | General Acute Care Hospital | 4201 St. Antoine- 6g Uhc, 6g Uhc, Detroit, MI 48201 | 2010-07-27 |
| 1922239920 | Wayne State University/detroit Medical Center | General Acute Care Hospital | 4201 Saint Antoine St # 2e, Detroit, MI 48201-2153 | 2009-08-07 |
| 1710134010 | Tetsuhiro Higashida | General Acute Care Hospital | 4201 St. Antoine Suite 6e, Detroit, MI 48201 | 2008-08-19 |
| 1487792818 | Detroit Hope Hospital | General Acute Care Hospital | 801 Virgina Park, Detroit, MI 48202 | 2007-02-01 |
| 1134266687 | Detroit Hope Hospital | General Acute Care Hospital | 801 Virginia Park, Detroit, MI 48202 | 2007-01-31 |
| 1669400305 | Ltac Hospital Detroit, LLC | General Acute Care Hospital | 801 Virginia Park St, Third Floor, Detroit, MI 48202-1925 | 2006-06-29 |
| 1043755788 | Barbara Ann Karmanos Cancer Center | General Acute Care Hospital | 4100 John R St, Detroit, MI 48201-2013 | 2017-01-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.