Active NPI
Edward W. Sparrow Hospital Association
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Lansing, MI
National Provider Identifier
1053424820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- EDWARD W. SPARROW HOSPITAL ASSOCIATION
- Practice address
- 1215 E. Michigan Avenue
Lansing, MI 48909-7980 - Phone
- (517) 364-6000
- Fax
- (517) 364-6009
- NPI assigned
- Aug 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ami Sue Kihn
- Title
- Vice President, Revenue Cycle
- Phone
- (517) 253-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
1215 E. Michigan Avenue
Lansing, MI 48909-7980
Mailing address
P.O. Box 30480
1215 E. Michigan Avenue
Lansing, MI 48909-7980
Phone (517) 364-6000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00025 | Other | MI | BLUE CROSS, BCN |
| 20000000005 | Other | MI | PHP |
| 405171969 | Medicaid | MI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675036800000",
"number": "1053424820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 30480",
"address_2": "1215 E. MICHIGAN AVENUE",
"city": "LANSING",
"state": "MI",
"postal_code": "489097980",
"telephone_number": "517-364-6000",
"fax_number": "517-364-6009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 E. MICHIGAN AVENUE",
"city": "LANSING",
"state": "MI",
"postal_code": "489097980",
"telephone_number": "517-364-6000",
"fax_number": "517-364-6009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWARD W. SPARROW HOSPITAL ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-16",
"last_updated": "2023-01-30",
"certification_date": "2023-01-30",
"status": "A",
"authorized_official_last_name": "KIHN",
"authorized_official_first_name": "AMI",
"authorized_official_middle_name": "SUE",
"authorized_official_title_or_position": "VICE PRESIDENT, REVENUE CYCLE",
"authorized_official_telephone_number": "517-253-6000"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS, BCN",
"identifier": "00025",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP",
"identifier": "20000000005",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "405171969",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
- Edward W. Sparrow Hospital
- Edward W. Sparrow Hospital
- Edward W. Sparrow Hospital Association
- Edward W. Sparrow Hospital Association
- Edward W. Sparrow Hospital Association
- Edward W. Sparrow Hospital Association
- Edward W. Sparrow Hospital Association
- Edward W. Sparrow Hospital Association
- Edward W. Sparrow Hospital Association
- Edward W. Sparrow Hospital Association
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.