St. John Providence Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

4301107660 Issued in MI

Legal business name

ST. JOHN PROVIDENCE HOSPITAL

Practice address

16001 W 9 Mile Rd
Southfield, MI 48075-4818

Phone

(248) 849-3000

NPI assigned

Jun 26, 2015

Last updated

Jun 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Flora, M.D.

Title

Medical Education Director

Phone

(248) 424-3216

Specialties & licenses 1

Addresses

Tax ID family

Ascension Health Ministry Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Cullum House

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  • Richland, WA
  • NPI 1710334719
  NPD tax ID
• Cullum House

  • Mental Illness Community Based Residential Treatment Facility
  • Richland, WA
  • NPI 1821459041
  NPD tax ID

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1649652686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16001 W 9 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754818",
            "telephone_number": "765-749-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16001 W 9 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754818",
            "telephone_number": "248-849-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN PROVIDENCE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "FLORA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MEDICAL EDUCATION DIRECTOR",
        "authorized_official_telephone_number": "248-424-3216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MI",
            "license": "4301107660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St John Health
• St John Providence Health
• St John Providence Health System
• St Jude Therapy Center Staffing
• St Maries
• St. Marie's
• Susan M St. Peter, CRNA
• Rachel Kimberly Stabel, R.N.
• Joseph Matthew Stabrava, MA TLLP
• Ellen Stachowicz, LLBSW

• General Acute Care Hospital in Southfield, MI
• Providers in Southfield, MI by specialty
• General Acute Care Hospital in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.