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St John Hospital and Medical Center

NPI 1780854174ActiveOrganization· Family Medicine· Saint Clair Shores, MI

Family Medicine in Saint Clair Shores, Michigan, registered in NPPES in March 2008. The authorized official on file is Kenneth Bollin, M.D., Chief Of The Department Of Fm.

Overview

NPI1780854174
StatusActive
Entity typeOrganization
NPI issuedMar 3, 2008
Last updated in NPPESMar 3, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X4301088641MI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Family Medicine providers in Saint Clair Shores

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