# SPARROW IONIA HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SMG Saranac, University of Michigan Health-Sparrow Saranac Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811380066
- **Authorized official:** MISTY GUNTER RUSSIAN (SUPERVISOR. PROVIDER ENROLLMENT)
- **Authorized official phone:** (517) 253-6308

## Contact information

- **Practice address:** 107 N BRIDGE ST, SARANAC, MI 48881-5121
- **Practice address phone:** (517) 364-6287
- **Practice address fax:** (517) 364-6204
- **Mailing address:** 8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
- **Mailing address phone:** (517) 364-6287
- **Mailing address fax:** (517) 364-6204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 1060000167 | MI | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/12/2015
- **Last updated:** 03/11/2024