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ST. JOHN MACOMB HOSPITAL
NPI 1154612745
General Acute Care Hospital in Warren, MI

Active since April 29, 2011
11800 E 12 MILE RD, WARREN, MI 48093(586) 573-5872(586) 573-5583 Get Directions Write a Review

NPPES record last updated: April 29, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About St. John Macomb Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. JOHN MACOMB HOSPITAL (NPI 1154612745) is a healthcare organization registered as a general acute care hospital in Warren, Michigan and active in the NPI registry since April 2011. The organization lists Christina Maria Pope, Behavioral Health Intake Clinician, as its authorized official.

NPPES Registry Identity

NPI1154612745
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameST. JOHN PROVIDENCE HEALTH SYSTEM
Location Address11800 E 12 MILE RDWarren, MI 48093-3472
Mailing Address11800 East Twelve Mile RoadWarren, MI 48093 · (586) 573-5872 · Fax (586) 573-5583
Phone(586) 573-5872
Fax(586) 573-5583
Organization SubpartYes
Authorized OfficialChristina Maria PopeBehavioral Health Intake Clinician · (586) 573-5872
Enumeration DateApril 29, 2011
✔ NPI 1154612745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in MI · 6401007085
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
11800 E 12 MILE RD, Warren, MI 48093
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Other Names 1

Other NameSt. John Macomb Hospital

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHEAL BUGGIA M.D.
Emergency Medicine
11800 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 573-5000
BRANDON MICHAEL TATAR MSN, APRN, ACCNS-AG
Clinical Nurse Specialist (Acute Care)
11800 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 854-1108
TRICOUNTY HOSPITALISTS, PLLC
Hospitalist
11800 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 573-5000
KIMBERLY A MANZAROLI CRNA
Nurse Anesthetist, Certified Registered
11800 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 573-5260
DOMIAN KANDAH D.O.
Emergency Medicine
11800 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 573-5059
AUTUMN BJORNSTAD MA, CCC-SLP
Speech-Language Pathologist
11800 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 576-4381
MRS. LAUREN ASHLEY ZIPAY AGACNP-BC
Nurse Practitioner (Acute Care)
11800 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 573-5000
METODIJA NAUMOVSKI CRNA
Nurse Anesthetist, Certified Registered
11800 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 573-5260

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. John Providence Health System's NPI number?

The NPI number for St. John Providence Health System is 1154612745. It was assigned to this organization in the NPPES registry on April 29, 2011. The provider is also known as St. John Macomb Hospital.

Where is St. John Providence Health System located?

St. John Providence Health System is located at 11800 E 12 Mile Rd, Warren, MI 48093. The listed phone number is (586) 573-5872.

What is St. John Providence Health System's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

When was this NPI record last updated?

The NPPES record for St. John Providence Health System was last updated on April 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.