MEDICARE: EMMA L. BIXBY MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	00190	OTHER	MI	BCBS
3	H44002	OTHER	MI	MCARE
4	104682	OTHER	MI	PREFERRED CHOICES/CARE CH
5	05035	OTHER	MI	PARAMOUNT
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972564730
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMMA L. BIXBY MEDICAL CENTER

Provider Business Mailing Address
First Line	:	5640 N ADRIAN HWY
Second Line	:
City	:	ADRIAN
State	:	MI
Zip	:	49221-8318
Country	:	US
Telephone Number	:	517-265-0900
Fax Number	:	517-265-0496

Provider Business Practice Location Address
First Line	:	5640 N ADRIAN HWY
Second Line	:
City	:	ADRIAN
State	:	MI
Zip	:	49221-8318
Country	:	US
Telephone Number	:	517-577-0000
Fax Number	:	517-265-0496

Authorized Official
Title or Position	:	VP REVENUE CYCLE
Name	:	KEVIN SHARP
Credential	:
Telephone Number	:	567-585-7576

Provider Enumeration Date	:	03/31/2006
Last Update Date	:	02/19/2026

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