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Organization
SPARROW EATON HOSPITAL
Active
Organization
SPARROW EATON HOSPITAL
Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
Grand Ledge Public Schools Health Center
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
820 SPRING ST STE 100, GRAND LEDGE, MI 48837-1834
(517) 925-5590
(517) 925-5590
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 253-6320
(517) 253-6321
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
—
NULL
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
11/08/2024
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