HENRY FORD HEALTH ST. JOHN HOSPITAL
NPI 1447381231
Clinic/Center - Ambulatory Surgical in Saint Clair Shores, MI

NPI Status: Active since March 07, 2007

Contact Information

21000 E 12 MILE RD
SAINT CLAIR SHORES, MI
ZIP 48081
Phone: (586) 753-0011

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 23D0884384
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 03-16-2027

About HENRY FORD HEALTH ST. JOHN HOSPITAL

This page provides the complete NPI Profile along with additional information for Henry Ford Health St. John Hospital, a provider established in Saint Clair Shores, Michigan operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1447381231 assigned on March 2007. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated April 2026. The authorized official of this NPI record is Kimberly Cebalt (Manager)

NPI
1447381231
Provider Name
HENRY FORD HEALTH ST. JOHN HOSPITAL
Entity Type
Organization
Location Address
21000 E 12 MILE RD SAINT CLAIR SHORES, MI 48081
Location Phone
(586) 753-0011
Mailing Address
28000 DEQUINDRE RD WARREN, MI 48092
Mailing Phone
(586) 753-0011
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-07-2007
Last Update Date
04-14-2026
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Local HMO Bronze Extra - HMO
  • Blue Cross� Local HMO Bronze Secure - HMO
  • Blue Cross� Local HMO Silver Extra - HMO
  • Blue Cross� Local HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Select HMO Bronze Saver HSA - HMO
  • Blue Cross� Select HMO Bronze Secure - HMO
  • Blue Cross� Select HMO Silver - HMO
  • Blue Cross� Select HMO Silver Extra - HMO
  • Blue Cross� Select HMO Silver Saver - HMO
  • Blue Cross� Select HMO Value - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIMBERLY CEBALT

Authorized Official Title
MANAGER
Authorized Official Phone
(313) 874-6764

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
40116OTHER (01)MIBCBSM PIN

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D0884384
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
March 17, 2025
Certificate Expiration Date
March 16, 2027
Laboratory Director
DR. ROBERT D. DANFORTH
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Henry Ford Health St. John Hospital on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for HENRY FORD HEALTH ST. JOHN HOSPITAL

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1447381231, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
4
Doubled → 8
Pos 4
7
Unchanged
Pos 5
3
Doubled → 6
Pos 6
8
Unchanged
Pos 7
1
Doubled → 2
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 3 → 6 1 → 2 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 8 + 7 + 6 + 8 + 2 + 2 + 6 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1447381231.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
21000 E 12 MILE RD, 102
ST CLAIR SHORES, MI 48081
Obstetrics & Gynecology
21000 E 12 MILE RD, 102
ST CLAIR SHORES, MI 48081
Obstetrics & Gynecology
21000 E 12 MILE RD, 102
ST CLAIR SHORES, MI 48081
Obstetrics & Gynecology
21000 E 12 MILE RD, 102
ST CLAIR SHORES, MI 48081
Obstetrics & Gynecology
21000 E 12 MILE RD
ST CLAIR SHORES, MI 48081
Pharmacist
21000 E 12 MILE RD
SAINT CLAIR SHORES, MI 48081
Pharmacist
21000 E 12 MILE RD, SUITE 124
SAINT CLAIR SHORES, MI 48081
Pharmacist
21000 E 12 MILE RD
SAINT CLAIR SHORES, MI 48081
Nurse Anesthetist, Certified Registered
21000 E 12 MILE RD
SAINT CLAIR SHORES, MI 48081
Nurse Anesthetist, Certified Registered
21000 E 12 MILE RD
SAINT CLAIR SHORES, MI 48081
Nurse Anesthetist, Certified Registered
21000 E 12 MILE RD
SAINT CLAIR SHORES, MI 48081
Nurse Anesthetist, Certified Registered
21000 E 12 MILE RD
SAINT CLAIR SHORES, MI 48081
Otolaryngology
21000 E 12 MILE RD, SUITE 111
SAINT CLAIR SHORES, MI 48081
Otolaryngology (Plastic Surgery within the Head & Neck)
21000 E 12 MILE RD, SUITE 111
SAINT CLAIR SHORES, MI 48081
Otolaryngology (Plastic Surgery within the Head & Neck)
21000 E 12 MILE RD, SUITE 111
SAINT CLAIR SHORES, MI 48081
Otolaryngology (Otology & Neurotology)
21000 E 12 MILE RD, SUITE 111
SAINT CLAIR SHORES, MI 48081
Otolaryngology
21000 E 12 MILE RD, SUITE 111
SAINT CLAIR SHORES, MI 48081
Audiologist-Hearing Aid Fitter
21000 E 12 MILE RD, SUITE 111
SAINT CLAIR SHORES, MI 48081
Audiologist
21000 E 12 MILE RD, SUITE 111
SAINT CLAIR SHORES, MI 48081
Pharmacist
21000 E 12 MILE RD
SAINT CLAIR SHORES, MI 48081

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447381231, enumerated as an "organization" on March 07, 2007.

The provider is located at 21000 E 12 MILE RD SAINT CLAIR SHORES, MI 48081 and the phone number is (586) 753-0011.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.