NPI 1154612745

St. John Providence Health System

Organisation General Acute Care Hospital Warren, MI

Practice location

Address: 11800 E 12 Mile Rd, Warren, MI 48093-3472
Phone: (586) 573-5872
Fax: (586) 573-5583
Mailing address: 11800 East Twelve Mile Road, Warren, MI 48093

Authorised official

Name: Christina Maria Pope
Title: Behavioral Health Intake Clinician
Phone: (586) 573-5872

Registered specialties

General Acute Care Hospital Primary

Hospitals Taxonomy 282N00000X Licence 6401007085 (MI)

Other General Acute Care Hospital providers in Michigan →

Registry record

NPI: 1154612745
Entity type: Organization
NPI issued: 29 Apr 2011
Record last updated: 29 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.