# SPARROW IONIA HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SPARROW IONIA HOSPITAL
- **Other names:** SPARROW IONIA HOSPITAL SPECIALTY CLINIC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1851669055
- **Legal business name:** SPARROW IONIA HOSPITAL
- **Authorized official:** WILLIAM ROESER (CEO)
- **Authorized official phone:** (616) 523-1400

## Contact information

- **Practice address:** 848 E LINCOLN AVE, IONIA, MI 48846-1314
- **Practice address phone:** (616) 523-1400
- **Practice address fax:** (616) 523-1429
- **Mailing address:** PO BOX 1001, 520 E WASHINGTON ST, IONIA, MI 48846-6001
- **Mailing address phone:** (616) 523-1400
- **Mailing address fax:** (616) 523-1429

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/02/2011
- **Last updated:** 03/05/2014