Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St John Providence

Organization General Acute Care Hospital · NPI 1679888374

St John Providence is a General Acute Care Hospital in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2010.

Licensed in
MI
In the registry since
2010

Practice location Address checks out

22101 Moross Rd
Detroit, MI 48236-2148
Phone: (313) 343-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Acute Care Hospital (primary) Taxonomy 282N00000X · Licence 4301097202 (MI)

Record details

NPI number1679888374
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Louis Saravolatz — Chief Of Medicine · (313) 343-7280
NPI enumeratedAugust 18, 2010
Last updated in NPPESAugust 18, 2010
Mailing address22101 Moross Rd, Detroit, MI 48236-2148

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