NPIMap

Organization Active NPI

Sparrow Eaton Hospital

  • Emergency Medicine Physician
  • Charlotte, MI
National Provider Identifier
1861691248
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
230020 Issued in MI
Legal business name
SPARROW EATON HOSPITAL
Practice address
321 E Harris St
Charlotte, MI 48813-1629
Phone
(517) 541-5927
Fax
(517) 543-0875
NPI assigned
Jul 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Authorized official

Name
Mrs. Kim A Capps
Title
Cfo
Phone
(517) 543-1050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X 230020 MI Primary

Addresses

Primary practice location

321 E Harris St
Charlotte, MI 48813-1629

Mailing address

321 E Harris St
Charlotte, MI 48813-1629
Phone (517) 541-5927

Other identifiers 1

IdentifierTypeStateIssuer
0B36006OtherMIBCN ED GROUP NUMBER

Other names 3

  • Sparrow Eaton Hospital Doing business as
  • Hayes Green Beach Memorial Hospital Former legal business name
  • Hayes Green Beach Hosp ED Other name

National Provider Directory

National Provider Directory
Tax ID family
SMG Charlotte Surgery15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1861691248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E HARRIS ST",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131629",
            "telephone_number": "517-541-5927",
            "fax_number": "517-543-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E HARRIS ST",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131629",
            "telephone_number": "517-541-5927",
            "fax_number": "517-543-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARROW EATON HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "CAPPS",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "517-543-1050",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "230020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN ED GROUP NUMBER",
            "identifier": "0B36006",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sparrow Eaton Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sparrow Eaton Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hayes Green Beach Memorial Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Hayes Green Beach Hosp ED",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charlotte, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.