Active NPI
St. John Hospital and Medical Center
- General Acute Care Hospital
- Harrison Township, MI
National Provider Identifier
1851362586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- ST. JOHN HOSPITAL AND MEDICAL CENTER
- Practice address
- 26755 Ballard Road
Harrison Township, MI 48045 - Phone
- (586) 465-5501
- NPI assigned
- Jan 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher J Palazzolo
- Title
- VP Finance
- Phone
- (313) 343-3558
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Primary |
Addresses
Primary practice location
26755 Ballard Road
Harrison Township, MI 48045
Mailing address
28000 Dequindre Road
Warren, MI 48092-2468
Phone (586) 753-0275
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00248 | Other | BLUE CROSS |
Other names 1
- St. John North Shores Hospital
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213142400000",
"number": "1851362586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28000 DEQUINDRE ROAD",
"city": "WARREN",
"state": "MI",
"postal_code": "480922468",
"telephone_number": "586-753-0275",
"fax_number": "586-753-0286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26755 BALLARD ROAD",
"city": "HARRISON TOWNSHIP",
"state": "MI",
"postal_code": "48045",
"telephone_number": "586-465-5501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. JOHN HOSPITAL AND MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-31",
"last_updated": "2008-06-11",
"status": "A",
"authorized_official_last_name": "PALAZZOLO",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "VP FINANCE",
"authorized_official_telephone_number": "313-343-3558"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "00248",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "St. John North Shores Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Harrison Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.