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Organization
ST. JOHN HOSPITAL AND MEDICAL CENTER
Active
Organization
ST. JOHN HOSPITAL AND MEDICAL CENTER
Active
Other names
St. John North Shores Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER J PALAZZOLO (VP FINANCE)
(313) 343-3558
Entity
Organization
Contact information
Practice address
26755 BALLARD ROAD, HARRISON TOWNSHIP, MI 48045
(586) 465-5501
Mailing address
28000 DEQUINDRE ROAD, WARREN, MI 48092-2468
(586) 753-0275
(586) 753-0286
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00248
BLUE CROSS
—
Enumeration date
01/31/2006
Last updated
06/11/2008
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