# SPARROW CARSON HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sparrow Medical Group Pediatrics Carson City
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629048491
- **Authorized official:** MR. MATTHEW J THOMPSON (PRESIDENT)
- **Authorized official phone:** (989) 584-3971

## Contact information

- **Practice address:** 245 S 2ND ST, CARSON CITY, MI 48811-9650
- **Practice address phone:** (989) 584-3981
- **Practice address fax:** (989) 584-0231
- **Mailing address:** PO BOX 730, 406 E ELM ST, CARSON CITY, MI 48811
- **Mailing address phone:** (989) 584-3131
- **Mailing address fax:** (989) 584-6734

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/25/2006
- **Last updated:** 06/17/2015