# SPARROW EATON HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SPARROW HEALTH SYSTEM
- **Other names:** Grand Ledge Public Schools Health Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1841079787
- **Legal business name:** SPARROW HEALTH SYSTEM
- **Authorized official:** MISTY GUNTER RUSSIAN (SUPERVISOR, PROVIDER ENROLLMENT)
- **Authorized official phone:** (517) 253-6308

## Contact information

- **Practice address:** 820 SPRING ST STE 100, GRAND LEDGE, MI 48837-1834
- **Practice address phone:** (517) 925-5590
- **Practice address fax:** (517) 925-5590
- **Mailing address:** 8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
- **Mailing address phone:** (517) 253-6320
- **Mailing address fax:** (517) 253-6321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/28/2023
- **Last updated:** 11/08/2024