# 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 Ionia Pain Center, University of Michigan Health-Sparrow Lansing Pain Management, Sparrow Pain Management Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1568046209
- **Legal business name:** SPARROW HEALTH SYSTEM
- **Authorized official:** MISTY GUNTER RUSSIAN (SUPERVISOR, PROVIDER ENROLLMENT)
- **Authorized official phone:** (517) 253-6308

## Contact information

- **Practice address:** 1200 E MICHIGAN AVE LOWR LEVEL, LANSING, MI 48912-1800
- **Practice address phone:** (517) 364-5330
- **Practice address fax:** (517) 364-5335
- **Mailing address:** 8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
- **Mailing address phone:** (517) 364-5330
- **Mailing address fax:** (517) 364-5335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 163WC0400X | Case Management Registered Nurse | — | NULL | — |
| 163WC0400X | Case Management Registered Nurse | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/10/2021
- **Last updated:** 03/26/2024