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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