MASONIC URGENT CARE CENTER
NPI 1386892834
Clinic/Center - Urgent Care in Saint Clair Shores, MI

Q: What is St. John Hospital And Medical Center's NPI number?

The NPI number for St. John Hospital And Medical Center is 1386892834. It was assigned to this organization in the NPPES registry on September 8, 2008. The provider is doing business as Masonic Urgent Care Center.

Q: What is St. John Hospital And Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Active since September 08, 2008

21099 MASONIC BLVD, SAINT CLAIR SHORES, MI 48082(586) 296-6213(586) 296-8180 Get Directions Write a Review

NPPES record last updated: December 12, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Masonic Urgent Care Center NPPES

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

MASONIC URGENT CARE CENTER (NPI 1386892834) is a healthcare organization registered as an urgent care in Saint Clair Shores, Michigan and active in the NPI registry since September 2008. The organization lists Jennifer Johnson, Director, as its authorized official.

NPPES Registry Identity

NPI1386892834

Entity TypeOrganization

Primary Taxonomy261QU0200X

Legal Business NameST. JOHN HOSPITAL AND MEDICAL CENTER

Location Address21099 MASONIC BLVDSaint Clair Shores, MI 48082-1045

Mailing Address21099 Masonic BlvdSaint Clair Shores, MI 48082-1045 · (586) 296-6213 · Fax (586) 296-8180

Phone(586) 296-6213

Fax(586) 296-8180

Organization SubpartNo

Authorized OfficialJennifer JohnsonDirector · (586) 228-4560

Enumeration DateSeptember 8, 2008

Last NPPES UpdateDecember 12, 2012

✔ NPI 1386892834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities

Taxonomy Code261QU0200X

Also ListedFamily MedicineTaxonomy 207Q00000X

21099 MASONIC BLVD, Saint Clair Shores, MI 48082

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Other Names 1

Doing Business AsMasonic Urgent Care Center

Other Identifiers 4

Other700E014700MI · Bcbs Group Number

Other700E031610MI · Bcbs Group Number

Other700E034110MI · Bcbs Group Number

Medicare PINMI3971MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

CHANDRIKA IYER MD

Family Medicine