St John Regional Medical Urgent Care

LBN: St John Regional Medical Urgent Care
St John Regional Medical Urgent Care is an health care organization with primary practice located at 21000 E 12 Mile Rd Ste 102, Saint Clair Shores MI 48081-1116. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. St John Regional Medical Urgent Care can be contacted via phone (586) 753-0011, or through Marx, Tomasine via phone (313) 343-7676.

Contact Information

Primary practice address
21000 E 12 Mile Rd Ste 102 Saint Clair Shores MI 48081-1116
Phone: (586) 753-0011
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Marx, Tomasine
Phone: (313) 343-7676

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1821120551
LBN Legal business name St John Regional Medical Urgent Care
DBA Doing business as
Authorized official Marx, Tomasine
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2007
Last updated Dec 2nd, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821120551 NPPES
Michigan Other 0E01554 BLUE CARE NETWORK PIN

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