HENRY FORD HEALTH ST. JOHN HOSPITAL – NPI #1801198387
Clinic/Center

HENRY FORD HEALTH ST. JOHN HOSPITAL is an AHC clinic located in MACOMB, MI. NPPES has assigned the NPI number 1801198387 to HENRY FORD HEALTH ST. JOHN HOSPITAL on December 03, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Apr 14, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HENRY FORD HEALTH ST. JOHN HOSPITAL below.

NPI Profile for
HENRY FORD HEALTH ST. JOHN HOSPITAL

NPI Number
1801198387
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HENRY FORD HEALTH ST. JOHN HOSPITAL
Primary location
17700 23 MILE RD
STE 200
MACOMB, MI 48044-1154
Phone: (586) 753-0011 Fax:
Mailing address
28000 DEQUINDRE RD
WARREN, MI 48092-2468
Phone: Fax:
Organization Subpart
No
Authorized Official
KIMBERLY CEBALT
DIRECTOR
Phone: (313) 874-6764
Updated
Certification Date
Apr 14, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for HENRY FORD HEALTH ST. JOHN HOSPITAL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBLUE CROSS40073
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.