NPIMap

Organization Active NPI

Emma L. Bixby Medical Center

  • General Acute Care Hospital
  • Adrian, MI
National Provider Identifier
1972564730
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
EMMA L. BIXBY MEDICAL CENTER
Practice address
5640 N Adrian Hwy
Adrian, MI 49221-8318
Phone
(517) 577-0000
Fax
(517) 265-0496
NPI assigned
Mar 31, 2006
Last updated
Feb 19, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
PROMEDICA HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Authorized official

Name
Kevin Sharp
Title
VP Revenue Cycle
Phone
(567) 585-7576

Specialties & licenses 1

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

Addresses

Primary practice location

5640 N Adrian Hwy
Adrian, MI 49221-8318

Mailing address

5640 N Adrian Hwy
Adrian, MI 49221-8318
Phone (517) 265-0900

Other identifiers 6

IdentifierTypeStateIssuer
104682OtherMIPREFERRED CHOICES/CARE CH
1945534MedicaidMI
00190OtherMIBCBS
1945516MedicaidMI
H44002OtherMIMCARE
05035OtherMIPARAMOUNT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040511001050 MI Part B Supplier - Clinic/Group Practice 9931198223 Receives reassigned benefits from 10 practitioners
1 other NPI on this enrollment
Practice locations: Adrian, MI; Hudson, MI
O20070425000549 MI Part A Provider - Hospital 9931198223 Practice locations: Monroe, MI; Onsted, MI; Morenci, MI; Hudson, MI; Dundee, MI; Blissfield, MI; Adrian, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972564730. Details of each certification follow.

Hospital certification: CCN 230005

Legal name
EMMA L BIXBY MEDICAL CENTER
Doing business as
PROMEDICA CHARLES AND VIRGINIA HICKMAN HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 8, 2012
Beds
88
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
5640 N Adrian Hwy
Adrian, MI 49221-8318
Other Hospital Practice Location
Hospital subgroups
Acute care

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Promedica Charles and Virginia Hickman HospitalCCN 230005 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0378647Charles & Virginia Hickman Hospital5640 N Adrian Highway, Adrian, MI 49221AccreditationJan 2, 2027
23D2010433Promedica Charles & Virginia Hickman Outreach5640 N Adrian Highway, Adrian, MI 49221Certificate of waiverJul 27, 2028
23D2024426Charles and Virginia Hickman Hospital5640 N Adrian Highway, Adrian, MI 49221Provider-performed microscopyMay 16, 2027

National Provider Directory

National Provider Directory
Tax ID family
Emma L Bixby Medical Ce4 organizations share this tax ID, including this one
Part of
Promedica Health System

Other organizations with this tax ID 3

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

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Terrence G Metzger Individual Corporate OfficerCfo Jan 1, 2025
Julie K Yaroch Individual Corporate OfficerPresident Jan 1, 2016
W-2 Managing EmployeePresident Jan 1, 2016
Mark Haag Individual Corporate DirectorBoard Member Jan 1, 2022
Kevin Sharp Individual Corporate OfficerVP Rev Cycle Mar 15, 2019
Jennifer Hunter Individual Corporate DirectorBoard Member Jan 1, 2025
Gary McDowell Individual Corporate DirectorBoard Member Feb 7, 2020
Katherine Mattison Individual Corporate DirectorBoard Member Jan 1, 2025
Amanda Kert Individual W-2 Managing EmployeeManager Revenue Cylce Jan 1, 2025
Dennis Smoke Individual Corporate DirectorBoard Member Feb 6, 2020
Michael Adams Individual Corporate DirectorBoard Member Feb 6, 2020
Christina Stansfield Individual Corporate OfficerBilling Manager Apr 19, 2018
Operational/Managerial ControlDirector Rev Cycle Feb 1, 2020
Thomas K Keith Individual Corporate DirectorBoard Member Jan 1, 2025
Marcy L Brown Individual Corporate DirectorBoard Member Jan 1, 2015
Paul E Gietzen Individual Corporate OfficerBoard Member Jan 24, 2017
Matthew Hammond Individual Corporate DirectorBoard Member Jan 1, 2025
Marsha Davis Individual Corporate DirectorBoard Member Feb 6, 2020
Brandon Farver Individual Corporate DirectorBoard Member Jan 1, 2022
Arturo Polizzi Individual Corporate OfficerCeo May 24, 2022
Promedica Health System Inc Organization, Toledo, OH Non-profit, Chain home office Operational/Managerial Control Aug 3, 1999

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 15

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 15

Practitioners & affiliated clinicians

Practitioners 56

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 56

Affiliated clinicians 556

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 556

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1972564730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 N ADRIAN HWY",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492218318",
            "telephone_number": "517-265-0900",
            "fax_number": "517-265-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 N ADRIAN HWY",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492218318",
            "telephone_number": "517-577-0000",
            "fax_number": "517-265-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMA L. BIXBY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROMEDICA HEALTH SYSTEM",
        "enumeration_date": "2006-03-31",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "VP REVENUE CYCLE",
        "authorized_official_telephone_number": "567-585-7576"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CHOICES/CARE CH",
            "identifier": "104682",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1945534",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00190",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1945516",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "H44002",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "05035",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

Verify at the official NPI Registry.