NPIMap

Organization Active NPI

Edward W. Sparrow Hospital Association

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lansing, MI
National Provider Identifier
1871606640
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
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
Last updated
Nov 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Authorized official

Name
Ms. Paula M. Reichle
Title
Chief Financial Officer
Phone
(517) 364-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00025OtherMIBLUE CROSS, BCN
200000000005OtherMIPHP
301557293MedicaidMI

National Provider Directory

National Provider Directory

NPI 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": "1478649600000",
    "number": "1871606640",
    "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": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "REICHLE",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "517-364-1000",
        "authorized_official_name_prefix": "Ms."
    },
    "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": "200000000005",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301557293",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.