Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.
HENRY FORD HEALTH ST. JOHN HOSPITAL
Complete NPI Record 1023088168
General Acute Care Hospital in Chicago, IL
Active since January 23, 2006CLIA Certified · 2 labs
2/5
Hospital Overall Rating
Complete NPI Dataset
This page contains the complete raw NPPES record for Henry Ford Health St. John Hospital (NPI 1023088168), a general acute care hospital organization in Chicago, IL. All 31 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1023088168 Field 1/31
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/31
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/31
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: HENRY FORD HEALTH ST. JOHN HOSPITAL Field 4/31
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider Other Organization Name: Not available Field 5/31
- Other name by which the organization provider is or has been known.
- Provider Other Organization Name Type Code: 6 Field 6/31
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider First Line Business Mailing Address: PO BOX 670884 Field 7/31
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: DETROIT Field 8/31
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: MI Field 9/31
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 482670884 Field 10/31
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 11/31
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 8009995829 Field 12/31
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 2486414840 Field 13/31
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 3187 SOLUTIONS CTR Field 14/31
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: CHICAGO Field 15/31
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: IL Field 16/31
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 606773001 Field 17/31
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 18/31
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 2486808000 Field 19/31
- The telephone number associated with the location address of the provider being identified.
- Authorized Official Last Name: DAMSCHRODER Field 22/31
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: ROBIN Field 23/31
- The first name of the authorized official.
- Authorized Official Title or Position: PRESIDENT, VAL BASED ENT & CFO Field 24/31
- The title or position of the authorized official.
- Authorized Official Telephone Number: 3138768452 Field 25/31
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 261QA1903X Field 26/31
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: N Field 27/31
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 2: 282N00000X Field 28/31
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 2: Y Field 29/31
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: N Field 30/31
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
Other Organization Names 2
Additional business and trade names this provider has on file with the NPPES registry.
Henry Ford Health St. John Hospital Doing Business As
Name 1/2Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
St John Hospital and Medical Center Doing Business As
Name 2/2Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Secondary Practice Locations 13
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
47601 Grand River Ave
Location 1/13Novi, MI 48374-1233 · Phone (258) 552-0620 ext. 2120
36750 26 Mile Rd
Location 2/13Chesterfield, MI 48047-2926 · Phone (586) 868-9050
11800 E 12 Mile Rd
Location 3/13Warren, MI 48093-3472 · Phone (586) 576-4596
21000 E 12 Mile Rd
Location 4/13Saint Clair Shores, MI 48081-1116 · Phone (586) 447-5030
22301 Foster Winter Dr Fl 2
Location 5/13Southfield, MI 48075-3707 · Phone (248) 552-0620
4014 River Rd Ste 1
Location 6/13East China, MI 48054-2916 · Phone (810) 326-1229
19229 Mack Ave
Location 7/13Grosse Pointe Woods, MI 48236-2858 · Phone (313) 647-3250
17700 23 Mile Rd
Location 8/13Macomb, MI 48044-1154 · Phone (586) 416-7500
31500 Telegraph Rd Ste 10
Location 9/13Bingham Farms, MI 48025-4343 · Phone (248) 552-0620
1901 Star Batt Dr Ste 100D
Location 10/13Rochester Hills, MI 48309-3767 · Phone (248) 844-4018
17900 23 Mile Rd Ste 403
Location 11/13Macomb, MI 48044-1161 · Phone (586) 868-9082
22101 Moross Rd
Location 12/13Detroit, MI 48236-2148 · Phone (313) 343-4000
31500 Telegraph Rd Ste 225
Location 13/13Bingham Farms, MI 48025-4315 · Phone (248) 552-0620
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