| St John Hospital And Medical Center | |
|
22101 Moross Detroit MI 48236 | |
| (313) 343-4000 | |
| Not Available |
| Full Name | St John Hospital And Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 22101 Moross, Detroit, Michigan |
| Authorized Official Name and Position | Kevin Grady (PRESIDENT) |
| Authorized Official Contact | 3134347676 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St John Hospital And Medical Center 28000 Dequindre Rd Warren MI 48092-2468 Ph: (586) 753-0260 | St John Hospital And Medical Center 22101 Moross Detroit MI 48236 Ph: (313) 343-4000 |
| NPI Number | 1295705945 |
|---|---|
| Provider Enumeration Date | 01/25/2006 |
| Last Update Date | 07/01/2020 |
| Certification Date | 07/01/2020 |
| Medicare PECOS PAC ID | 3173424082 |
|---|---|
| Medicare Enrollment ID | O20070731000666 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295705945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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