# SPARROW EATON HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HAYES GREEN BEACH MEMORIAL HOSPITAL INTERNAL MEDICINE, HAYES GREEN BEACH MEMORIAL HOSPITAL, Sparrow Eaton Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831370618
- **Authorized official:** TAMMY MERRITT (DIRECTOR OF PHYSICIAN PRACTICES)
- **Authorized official phone:** (517) 543-1050

## Contact information

- **Practice address:** 123 LANSING ST, SUITE 3A, CHARLOTTE, MI 48813-1696
- **Practice address phone:** (517) 543-0600
- **Mailing address:** 1701 LAKE LANSING RD, SUITE 100, LANSING, MI 48912-3798
- **Mailing address phone:** (517) 485-0001
- **Mailing address fax:** (517) 485-1138

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/20/2007
- **Last updated:** 02/13/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0B31000 | BCBSM | MI |