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ST JOHN PROVIDENCE
NPI 1679888374
General Acute Care Hospital in Detroit, MI

Active since August 18, 2010
22101 MOROSS RD, DETROIT, MI 48236(313) 343-4000 Get Directions Write a Review

NPPES record last updated: August 18, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St John Providence NPPES

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

ST JOHN PROVIDENCE (NPI 1679888374) is a healthcare organization registered as a general acute care hospital in Detroit, Michigan and active in the NPI registry since August 2010. The organization lists Louis Saravolatz, Chief Of Medicine, as its authorized official.

NPPES Registry Identity

NPI1679888374
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameST JOHN PROVIDENCE
Location Address22101 MOROSS RDDetroit, MI 48236-2148
Mailing Address22101 Moross RdDetroit, MI 48236-2148 · (313) 343-4000
Phone(313) 343-4000
Organization SubpartNo
Authorized OfficialLouis SaravolatzChief Of Medicine · (313) 343-7280
Enumeration DateAugust 18, 2010
✔ NPI 1679888374 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 · 4301097202
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.
22101 MOROSS RD, Detroit, MI 48236
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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.

MARY DECAROLIS LMSW, ACSW
Social Worker (Clinical)
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 417-2769
ELEFTHERIOS VOUYOUKAS MD, MSC
Pathology (Anatomic Pathology & Clinical Pathology)
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-4000
JAINA SABU SAMUEL
Nurse Practitioner (Acute Care)
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-4000
DR. DANIEL S RANA M.D.
Anesthesiology
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-4000
MRS. MARIA ANNA SYJUD MPT
Physical Therapist
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-3744
DANIEL P SNOWER MD
Pathology (Anatomic Pathology & Clinical Pathology)
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (313) 343-4000
ST. JOHN HOSPITAL AND MEDICAL CENTER
Clinic/Center
22101 MOROSS RD
DETROIT, MI 48236
Wayne County (586) 753-0011
ENAS ALSHAREKH
Internal Medicine
22101 MOROSS RD, PB2 SUITE 50
DETROIT, MI 48236
Wayne County (313) 343-7774

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's NPI number?

The NPI number for St John Providence is 1679888374. It was assigned to this organization in the NPPES registry on August 18, 2010.

Where is St John Providence located?

St John Providence is located at 22101 Moross Rd, Detroit, MI 48236. The listed phone number is (313) 343-4000.

What is St John Providence'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 was last updated on August 18, 2010. 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.