MASONIC URGENT CARE CENTER – NPI #1386892834
Clinic/Center

MASONIC URGENT CARE CENTER is an AHC clinic located in SAINT CLAIR SHORES, MI. NPPES has assigned the NPI number 1386892834 to MASONIC URGENT CARE CENTER on September 08, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MASONIC URGENT CARE CENTER” is a dba name, the actual legal business name for this organization is ST. JOHN HOSPITAL AND MEDICAL CENTER. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 13 years ago on Dec 12, 2012. 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 MASONIC URGENT CARE CENTER below.

NPI Profile for
ST. JOHN HOSPITAL AND MEDICAL CENTER

NPI Number
1386892834
Enumeration Date

(about 18 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
ST. JOHN HOSPITAL AND MEDICAL CENTER
Doing Business As (dba): MASONIC URGENT CARE CENTER
Primary location
21099 MASONIC BLVD
SAINT CLAIR SHORES, MI 48082-1045
Phone: (586) 296-6213 Fax: (586) 296-8180
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JENNIFER JOHNSON
DIRECTOR
Phone: (586) 228-4560
Updated
Identifiers

Identifiers for MASONIC URGENT CARE CENTER

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
OTHERBCBS GROUP NUMBERMI700E014700
OTHERBCBS GROUP NUMBERMI700E031610
OTHERBCBS GROUP NUMBERMI700E034110
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
261QU0200X
- Clinic/Center / Urgent Care (Primary)		 MI
207Q00000X
- Family Medicine		 MI

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.