OrganizationActive
St. John Hospital and Medical Center
NPI 1205986411 · Long Term Care Hospital · Detroit, MI
Provider details
- NPI number
- 1205986411
- Entity type
- Organization
- Primary specialty
- Long Term Care HospitalHospitals
- Organization subpart
- No
- Authorized official
- Kim Mccullen, Neonatal Nurse Practitioner(313) 343-3497
- License
- 4704207081 (MI)
Specialties & taxonomies
Hospitals
Practice location
22101 Moross Rd
Detroit, MI 48236-2148
Phone: (313) 343-3497
Fax: (313) 417-2967
Approximate (ZIP-level) locationGet directions
Mailing address
21183 Kenmore Ave
Harper Woods, MI 48225-1705
Registry dates
- Enumerated
- 2007-01-11
- Last updated
- 2009-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.