# SPARROW IONIA HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SPARROW IONIA HOSPITAL
- **Other names:** PROS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1568550655
- **Legal business name:** SPARROW IONIA HOSPITAL
- **Authorized official:** WILLIAM ROESER (PRESIDENT/CEO)
- **Authorized official phone:** (616) 523-1400

## Contact information

- **Practice address:** 429 W LINCOLN AVE, SUITE H, IONIA, MI 48846-1144
- **Practice address phone:** (616) 527-0558
- **Practice address fax:** (616) 523-1429
- **Mailing address:** PO BOX 1001, 520 E WASHINGTON ST, IONIA, MI 48846-6001
- **Mailing address phone:** (616) 523-1400
- **Mailing address fax:** (616) 523-1429

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 03/10/2014