NPIMap

Organization Active NPI

Seton Health Corporation of Southeastern Michigan

Doing business as St. John Eastside Urgent Care

  • Urgent Care Clinic/Center
  • Saint Clair Shores, MI
National Provider Identifier
1316350192
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN
Doing business as
St. John Eastside Urgent Care
Practice address
21000 E 12 Mile Rd
Suite 105
Saint Clair Shores, MI 48081-1116
Phone
(586) 498-3606
Fax
(586) 498-3601
NPI assigned
Jun 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sarah Starkel
Title
Supervisor
Phone
(248) 680-8121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X MI Primary

Addresses

Primary practice location

21000 E 12 Mile Rd
Suite 105
Saint Clair Shores, MI 48081-1116

Mailing address

PO Box 17496
Belfast, ME 04915-4069
Phone (248) 680-8000

Other names 1

  • St. John Eastside Urgent Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Seton Health Corporation of Southeastern Michigan11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1316350192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17496",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154069",
            "telephone_number": "248-680-8000",
            "fax_number": "248-292-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21000 E 12 MILE RD",
            "address_2": "SUITE 105",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811116",
            "telephone_number": "586-498-3606",
            "fax_number": "586-498-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "STARKEL",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "248-680-8121"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. John Eastside Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. John Eastside Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.