NPI 1164584256

St. John Macomb Hospital

Organisation General Acute Care Hospital Warren, MI

Practice location

Address: 11800 E 12 Mile Rd, Warren, MI 48093-3472
Phone: (586) 573-5512
Fax: (586) 573-5148
Mailing address: 25320 Ronald CT, Oak Park, MI 48237-1327

Authorised official

Name: Lingareddy Devireddy
Title: Chief of Cardiology
Phone: (586) 574-0890

Registered specialties

General Acute Care Hospital Primary

Hospitals Taxonomy 282N00000X Licence 5601003607 (MI)

Other General Acute Care Hospital providers in Michigan →

Registry record

NPI: 1164584256
Entity type: Organization
NPI issued: 14 Dec 2006
Record last updated: 22 Aug 2020

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.