# EDWARD W SPARROW HOSPITAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SPARROW HEALTH SYSTEM
- **Other names:** University of Michigan Health-Sparrow, UM Sparrow Population Health
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1265220438
- **Legal business name:** SPARROW HEALTH SYSTEM
- **Authorized official:** MISTY GUNTER RUSSIAN (REGIONAL MANAGER, PROVIDER ENROLLME)
- **Authorized official phone:** (517) 253-6308

## Contact information

- **Practice address:** 1200 E MICHIGAN AVE, LANSING, MI 48912-1800
- **Practice address phone:** (517) 364-5123
- **Mailing address:** 8175 RELIABLE PKWY, CHICAGO, IL 60686-0081

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/28/2025
- **Last updated:** 04/28/2025