NPIMap

Organization Active NPI

Sparrow Carson Hospital

  • Rural Health Clinic/Center
  • Carson City, MI
National Provider Identifier
1629048491
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SPARROW CARSON HOSPITAL
Practice address
245 S 2ND St
Carson City, MI 48811-9650
Phone
(989) 584-3981
Fax
(989) 584-0231
NPI assigned
Jan 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Authorized official

Name
Mr. Matthew J Thompson
Title
President
Phone
(989) 584-3971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

245 S 2ND St
Carson City, MI 48811-9650

Mailing address

PO Box 730
406 E Elm St
Carson City, MI 48811
Phone (989) 584-3131

Other names 1

  • Sparrow Medical Group Pediatrics Carson City Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040126000046 MI Part B Supplier - Clinic/Group Practice 7113836701 Receives reassigned benefits from 241 practitioners
23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Greenville, MI; Stanton, MI; Mount Pleasant, MI; Ithaca, MI; Fowler, MI; Carson City, MI

Other NPIs on the same Medicare enrollment 19

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

View all 19

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

102 S 3rd St
Ste 300
Carson City, MI 48811
Phone (989) 584-6321

Practitioners & affiliated clinicians

Practitioners 7

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": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1629048491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 730",
            "address_2": "406 E ELM ST",
            "city": "CARSON CITY",
            "state": "MI",
            "postal_code": "48811",
            "telephone_number": "989-584-3131",
            "fax_number": "989-584-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 S 2ND ST",
            "city": "CARSON CITY",
            "state": "MI",
            "postal_code": "488119650",
            "telephone_number": "989-584-3981",
            "fax_number": "989-584-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARROW CARSON HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-584-3971",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sparrow Medical Group Pediatrics Carson City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carson City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.