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ST. JOHN MACOMB HOSPITAL
NPI 1164584256
General Acute Care Hospital in Warren, MI

Active since December 14, 2006
11800 E 12 MILE RD, WARREN, MI 48093(586) 573-5512(586) 573-5148 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 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 1164584256) is a healthcare organization registered as a general acute care hospital in Warren, Michigan and active in the NPI registry since December 2006. The organization lists Lingareddy Devireddy, Chief Of Cardiology, as its authorized official.

NPPES Registry Identity

NPI1164584256
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameST. JOHN MACOMB HOSPITAL
Location Address11800 E 12 MILE RDWarren, MI 48093-3472
Mailing Address25320 Ronald CtOak Park, MI 48237-1327 · (248) 543-3063
Phone(586) 573-5512
Fax(586) 573-5148
Organization SubpartNo
Authorized OfficialLingareddy DevireddyChief Of Cardiology · (586) 574-0890
Enumeration DateDecember 14, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1164584256 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 · 5601003607
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 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 Macomb Hospital's NPI number?

The NPI number for St. John Macomb Hospital is 1164584256. It was assigned to this organization in the NPPES registry on December 14, 2006.

Where is St. John Macomb Hospital located?

St. John Macomb Hospital is located at 11800 E 12 Mile Rd, Warren, MI 48093. The listed phone number is (586) 573-5512.

What is St. John Macomb Hospital'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 Macomb Hospital was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.