Organization
UNIVERSITY HOSPITALS ST. JOHN MEDICAL CENTER
Active
Other names
UH St. John Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE GALLUCCI (VP CHIEF ACCOUNTING OFFICER)
(440) 382-7894
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
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000227443
ANTHEM
—
01
—
00606903
AETNA US HEALTHCARE
—
01
—
0452670002
CARESOURCE
—
01
—
0452675
PEOPLES HEALTH PLAN
—
05
—
0452675
—
OH
01
—
10602
QUALCHOICE
—
01
—
204898000
MAGELLAN BEHAVIORAL HLTH
—
01
—
312882
BLACK LUNG
—
01
—
34189345200
BUREAU OF WORKERS COMPENS
OH
01
—
341893452010
MEDICAL MUTUAL OF OHIO
OH
01
—
341893452011
MEDICAL MUTUAL OF OHIO CD
OH
01
—
5000129
UNITED HEALTHCARE
—
Enumeration date
02/15/2006
Last updated
03/23/2026
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