Organization Active NPI

Sturgis Hospital, Inc.

  • Family Medicine Physician
  • Sturgis, MI
National Provider Identifier
1366775686
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
STURGIS HOSPITAL, INC.
Practice address
916 Myrtle St
Sturgis, MI 49091-2326
Phone
(269) 659-6747
NPI assigned
Sep 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jo Hagood
Title
Administrative Director
Phone
(269) 659-6747

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Rural Health Clinic/Center 261QR1300X 1366775686 MI

Addresses

Primary practice location

916 Myrtle St
Sturgis, MI 49091-2326

Mailing address

916 Myrtle St
Sturgis, MI 49091-2326
Phone (269) 659-6747

Other names 1

  • SMG Billing Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100213000070 MI Part B Supplier - Clinic/Group Practice 5395884621 Receives reassigned benefits from 36 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sturgis, MI

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

916 Myrtle St
Bldg Su
Sturgis, MI 49091

600 S Lakeview Ave
Sturgis, MI 49091

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1366775686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 MYRTLE ST",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490912326",
            "telephone_number": "269-659-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 MYRTLE ST",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490912326",
            "telephone_number": "269-659-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STURGIS HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-18",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "HAGOOD",
        "authorized_official_first_name": "JO",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "269-659-6747"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MI",
            "license": "1366775686",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMG Billing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sturgis, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.