# HENRY FORD HEALTH ST. JOHN HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447381231
- **Authorized official:** KIMBERLY CEBALT (MANAGER)
- **Authorized official phone:** (313) 874-6764

## Contact information

- **Practice address:** 21000 E 12 MILE RD, SAINT CLAIR SHORES, MI 48081-1116
- **Practice address phone:** (586) 753-0011
- **Mailing address:** PO BOX 670884, DETROIT, MI 48267-0884
- **Mailing address phone:** (800) 999-5829
- **Mailing address fax:** (248) 641-4840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/07/2007
- **Last updated:** 07/16/2026