ST JOHN HOSPITAL AND MEDICAL CENTER
NPI 1831220797
Clinic/Center in Saint Clair Shores, MI

Active since March 09, 2007
24911 LITTLE MACK AVE, SUITE C, SAINT CLAIR SHORES, MI 48080(586) 753-0011 Get Directions Write a Review

NPPES record last updated: June 10, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About St John Hospital And Medical Center NPPES

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

ST JOHN HOSPITAL AND MEDICAL CENTER (NPI 1831220797) is a healthcare organization registered as a clinic/center in Saint Clair Shores, Michigan and active in the NPI registry since March 2007. The organization lists Christopher J Palazzolo, V.p.-finance, as its authorized official.

NPPES Registry Identity

NPI1831220797
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameST JOHN HOSPITAL AND MEDICAL CENTER
Location Address24911 LITTLE MACK AVE, SUITE CSaint Clair Shores, MI 48080-3200
Mailing Address28000 Dequindre RdWarren, MI 48092-2468 · (586) 753-0011
Organization SubpartNo
Authorized OfficialChristopher J PalazzoloV.p.-finance · (313) 343-3558
Enumeration DateMarch 9, 2007
Last NPPES UpdateJune 10, 2009
NPI 1831220797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedFamily MedicineTaxonomy 207Q00000X
24911 LITTLE MACK AVE, Saint Clair Shores, MI 48080

Other Identifiers 2

Medicare PIN0M71670
Other0E07766MI · Bcbsm Pin

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

Accepted Insurance

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.

Family Medicine
24911 LITTLE MACK AVE
ST CLAIR SHORES, MI 48080
Family Medicine
24911 LITTLE MACK AVE, SUITE C
SAINT CLAIR SHORES, MI 48080
Nurse Practitioner (Psychiatric/Mental Health)
24911 LITTLE MACK AVE, SUITE C
SAINT CLAIR SHORES, MI 48080
Surgery
24911 LITTLE MACK AVE, STE B
SAINT CLAIR SHORES, MI 48080
Surgery
24911 LITTLE MACK AVE, SUITE B
SAINT CLAIR SHORES, MI 48080
Surgery
24911 LITTLE MACK AVE, SUITE B
SAINT CLAIR SHORES, MI 48080
Family Medicine
24911 LITTLE MACK AVE, ST JOHN FAMILY MEDICAL CENTRE
SAINT CLAIR SHORES, MI 48080
Family Medicine
24911 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831220797, enumerated as an "organization" on March 09, 2007.

The provider is located at 24911 LITTLE MACK AVE SUITE C SAINT CLAIR SHORES, MI 48080 and the phone number is (586) 753-0011.

Clinic/Center with taxonomy code 261Q00000X.

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.