# EDWARD W SPARROW HOSPITAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sparrow Ionia Pain Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891486205
- **Authorized official:** MARGARET ANN DIMOND (PRESIDENT/CEO, UM HEALTH REGIONAL N)
- **Authorized official phone:** (517) 364-3480

## Contact information

- **Practice address:** 205 S DEXTER ST, IONIA, MI 48846-2001
- **Practice address phone:** (616) 527-0558
- **Practice address fax:** (616) 527-1131
- **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 |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/17/2023
- **Last updated:** 03/06/2024