EMMA L. BIXBY MEDICAL CENTER (NPI# 1972564730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972564730 |
| Entity Type | Organization |
| Organization Name | EMMA L. BIXBY MEDICAL CENTER |
| Practice Address |
818 Riverside Ave Adrian MI 49221-1446 |
| Practice Telephone | 5172650900 |
| Practice Fax Number | 5172650496 |
| Mailing Telephone | 5172650900 |
| Mailing Fax Number | 5172650496 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2011-02-01 |
| Authorized Official Name | MR. TIM JAKACKI (CFO) |
| Authorized Official Telephone | 5172650900 |
| Is Organization Subpart | Y |
| Parent Organization Name | PROMEDICA HEALTH SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | PREFERRED CHOICES/CARE CH | 104682 | 01 |
| MI | 1945534 | 05 | |
| MI | BCBS | 00190 | 01 |
| MI | PARAMOUNT | 05035 | 01 |
| MI | 1945516 | 05 | |
| MI | MCARE | H44002 | 01 |
| Street Address |
818 RIVERSIDE AVE |
| City | ADRIAN |
| State | MI |
| Zip Code | 49221-1446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497757579 | Jeffrey B Mcclure | Internal Medicine | 818 Riverside Ave, 5th Floor Cardiology, Adrian, MI 49221-1446 | 2005-06-02 |
| 1174176275 | Amy E Kern | Nurse Practitioner | 818 Riverside Ave, Adrian, MI 49221-1446 | 2019-07-18 |
| 1487121166 | Debra Jill Line | Occupational Therapist | 818 Riverside Ave, Adrian, MI 49221-1446 | 2018-10-31 |
| 1427530310 | John William Upton | Physical Therapist | 818 Riverside Ave, Adrian, MI 49221-1446 | 2018-09-06 |
| 1740773290 | Jeffrey Mark Clinton | Nurse Practitioner | 818 Riverside Ave, Adrian, MI 49221-1446 | 2018-06-10 |
| 1467969717 | Patricia Halbert-raich | Nurse Practitioner | 818 Riverside Ave, Adrian, MI 49221-1446 | 2018-01-09 |
| 1649707886 | Sophia Maria Ann Valkier | Podiatrist | 818 Riverside Ave, Adrian, MI 49221-1446 | 2017-05-18 |
| 1174056816 | Melissa Anne Thompson | Pharmacist | 818 Riverside Ave, Adrian, MI 49221-1446 | 2017-04-10 |
| 1235662560 | Renee Lukas | Pharmacist | 818 Riverside Ave, Adrian, MI 49221-1446 | 2017-04-04 |
| 1982137329 | Jade Alexandra Pfund | Pharmacist | 818 Riverside Ave, Adrian, MI 49221-1446 | 2017-04-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285116723 | Sandra Ann Harsh | Occupational Therapist | Total Rehab, 1136 Country Club, Adrian, MI 49221 | 2018-08-31 |
| 1588156178 | Chelsea Varney | Social Worker | 1040 Winter Street, Adrian, MI 49221 | 2018-05-31 |
| 1669974127 | Nicoletta Mary Bruno | Physical Therapy Assistant | 700 Lakeshire Trail, Adrian, MI 49221 | 2018-03-01 |
| 1871011403 | Evan Splan | Pharmacist | 1200 South Main St Suite A, Adrian, MI 49221 | 2017-09-04 |
| 1780104992 | Daniel Malcolm | Specialist/Technologist | 1325 Williams St., Adrian, MI 49221 | 2017-06-20 |
| 1639602881 | Robert Gargol | Pharmacist | 1535 W Maumee, Adrian, MI 49221 | 2017-04-05 |
| 1487196416 | Painless Dentistry V | Dentist | 160 N. Winter St., Adrian, MI 49221 | 2016-11-08 |
| 1487025227 | Michelle Lynn Ranta | Speech-Language Pathologist | 730 Kimole Ln., Adrian, MI 49221 | 2015-10-19 |
| 1376929109 | James Hamblin | Technician, Other | 1100 South Main St. Lot 139, Adrian, MI 49221 | 2015-08-04 |
| 1316320039 | Shirley Goodlock | Community/Behavioral Health | 3091 E. Carleton Rd, Adrian, MI 49221 | 2015-06-30 |
| Find all providers in zip 49221 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871800722 | Emma L Bixby Medical Center | General Acute Care Hospital | 818 Riverside Ave, Adrian, MI 49221-1446 | 2010-09-13 |
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|---|---|---|---|---|
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| 1972043081 | Melissa Kovaleski | General Acute Care Hospital | 1029 Chestnut Ln, South Lyon, MI 48178-1896 | 2017-03-08 |
| 1699125922 | Sarah Finlay | General Acute Care Hospital | 5333 Mcauley Dr Ste 40001, Ypsilanti, MI 48197-1014 | 2016-06-17 |
| 1528412517 | Bess Marie Connors | General Acute Care Hospital | 1506 Pontiac Trl, Ann Arbor, MI 48105-1719 | 2016-04-16 |
| 1093198624 | The Memorial Hospital | General Acute Care Hospital | 826 W King St # 1-117, Owosso, MI 48867-2120 | 2015-07-01 |
| 1326428285 | Ipc Hospitalist Company | General Acute Care Hospital | 1628 Huntwood Park Ct, West Bloomfield, MI 48324-3998 | 2015-06-05 |
| 1689088304 | Florida Hospital | General Acute Care Hospital | 7922 Barrie, Dearborn, MI 48126 | 2014-06-20 |
| 1720491954 | University of Michigan | General Acute Care Hospital | 1515 E. Hospital Drive, Towsley Center, 1218, Spc 5222, Ann Arbor, MI 48109-5222 | 2014-06-05 |
| 1366866956 | Bronson Methodist Hospital | General Acute Care Hospital | 601 John St Ste M-425, Kalamazoo, MI 49007-5354 | 2014-02-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.