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Organization
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Active
Organization
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Active
Other names
University of Michigan Health-Sparrow
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY RUSSIAN (SUPERVISOR, PROVIDER ENROLLMENT)
(517) 253-6308
Entity
Organization
Contact information
Practice address
1215 E. MICHIGAN AVENUE, LANSING, MI 48909-7980
(517) 364-6000
(517) 364-6009
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 364-7999
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
330060
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025
BLUE CROSS
MI
01
—
200000000005
PHP
MI
05
—
2775312
—
MI
Enumeration date
03/20/2006
Last updated
09/17/2025
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