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Contact Information

ST JOHN HEALTH SYSTEM DETROIT MACOMB CAMPUS
7733 E JEFFERSON AVE
DETROIT, MI48214
 Phone: 313-499-4160
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for ST JOHN HEALTH SYSTEM DETROIT MACOMB CAMPUS

NPI # 1174691075
LBN Legal business name ST JOHN HEALTH SYSTEM DETROIT MACOMB CAMPUS
Authorized official DIANE PRESSLEY CAPERS - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/01/2006
Last updated 01/22/2008 - About 18 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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