# EDWARD W. SPARROW HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EDWARD W. SPARROW HOSPITAL
- **Other names:** Sparrow Health System MICU
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1790850162
- **Legal business name:** EDWARD W. SPARROW HOSPITAL
- **Authorized official:** MR. CHRIS EUGENE BERGMAN (SENIOR VICE PRESIDENT / CFO)
- **Authorized official phone:** (517) 364-5400

## Contact information

- **Practice address:** 1210 W SAGINAW ST, 3 RD FLOOR, LANSING, MI 48915-1927
- **Practice address phone:** (517) 364-7282
- **Practice address fax:** (517) 364-7280
- **Mailing address:** PO BOX 13008, LANSING, MI 48901-3008
- **Mailing address phone:** (517) 364-7282
- **Mailing address fax:** (517) 364-7280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 11/21/2006
- **Last updated:** 03/25/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 59-0-C3-0008-0 | BCBS GROUP NUMBER | MI |