NPIMap

Organization Active NPI

Emma L Bixby Medical Center

Doing business as Bixby Flu Clinic

  • General Acute Care Hospital
  • Adrian, MI
National Provider Identifier
1871800722
Registry record updated Mar 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
460020 Issued in MI
Legal business name
EMMA L BIXBY MEDICAL CENTER
Doing business as
Bixby Flu Clinic
Practice address
818 Riverside Ave
Adrian, MI 49221-1446
Phone
(517) 265-0276
Fax
(517) 265-0872
NPI assigned
Sep 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2011

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

Authorized official

Name
Mrs. Nicole A Burns
Title
Analyst
Phone
(517) 265-0276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 460020 MI Primary

Addresses

Primary practice location

818 Riverside Ave
Adrian, MI 49221-1446

Mailing address

818 Riverside Ave
Adrian, MI 49221-1446
Phone (517) 265-0276

Other identifiers 1

IdentifierTypeStateIssuer
230005OtherMIBMC MEDICARE

Other names 1

  • Bixby Flu Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Shivaprasud Shetty MD4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301270400000",
    "number": "1871800722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 RIVERSIDE AVE",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211446",
            "telephone_number": "517-265-0276",
            "fax_number": "517-265-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 RIVERSIDE AVE",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211446",
            "telephone_number": "517-265-0276",
            "fax_number": "517-265-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMA L BIXBY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2011-03-28",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ANALYST",
        "authorized_official_telephone_number": "517-265-0276",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MI",
            "license": "460020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC MEDICARE",
            "identifier": "230005",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bixby Flu Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Adrian, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.