# EDWARD W. SPARROW HOSPITAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EDWARD W. SPARROW HOSPITAL ASSOCIATION
- **Other names:** Sparrow Perinatal Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720034481
- **Legal business name:** EDWARD W. SPARROW HOSPITAL ASSOCIATION
- **Authorized official:** MRS. DIANE S GALLUPS (DIRECTOR PROFESSIONAL BILLING)
- **Authorized official phone:** (517) 364-6251

## Contact information

- **Practice address:** 1200 E MICHIGAN AVE, SUITE 345, LANSING, MI 48912-1800
- **Practice address phone:** (517) 364-5610
- **Practice address fax:** (517) 364-5614
- **Mailing address:** PO BOX 13008, LANSING, MI 48901-3008
- **Mailing address phone:** (517) 364-5610
- **Mailing address fax:** (517) 364-5614

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | Yes |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | NULL | — |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 06/21/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 160C310820 | BCBS GROUP NUMBER | MI |