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Organization

UNIVERSITY HOSPITALS ST. JOHN MEDICAL CENTER

Active
Parent organization
ST JOHN MEDICAL CENTER
Other names
UH St. John Medical Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST JOHN MEDICAL CENTER
Authorized official
ANTHONY SCHILLERO (DIRECTOR, FP&A)
(216) 767-8141
Entity
Organization

Contact information

Practice address
29000 CENTER RIDGE RD, WESTLAKE, OH 44145-5293
(440) 835-8000
(440) 746-3405
Mailing address
PO BOX 772930, DETROIT, MI 48277-2930
(440) 746-3401
(440) 746-3405

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000157548
ANTHEM
05
2137422
OH
01
341893452013
MEDICAL MUTUAL OF OHIO
OH
01
34189345207
BUREAU OF WORKERS COMPENS
OH
Enumeration date
02/22/2006
Last updated
04/29/2024
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