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Organization
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Active
Organization
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
Sparrow Behavioral Health Services, University of Michigan Health-Sparrow Behavioral Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPARROW HEALTH SYSTEM
Authorized official
MISTY GUNTER RUSSIAN (SUPERVISOR, PROVIDER ENROLLMENT)
(517) 253-6308
Entity
Organization
Contact information
Practice address
1210 W SAGINAW ST, LANSING, MI 48915-1927
(517) 364-7700
(517) 364-7701
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 364-7700
(517) 364-7701
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75-09-10420
BCBS OPC
MI
Enumeration date
03/06/2008
Last updated
03/27/2024
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