# SPARROW CARSON HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SPARROW HEALTH SYSTEM
- **Other names:** Sparrow Medical Group Specialty Carson City, University of Michigan Health-Sparrow Carson OB/GYN, University of Michigan Health-Sparrow
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1902153083
- **Legal business name:** SPARROW HEALTH SYSTEM
- **Authorized official:** MISTY GUNTER RUSSIAN (SUPERVISOR, PROVIDER ENROLLMENT)
- **Authorized official phone:** (517) 253-6308

## Contact information

- **Practice address:** 401 E ELM ST, CARSON CITY, MI 48811-8600
- **Practice address phone:** (989) 584-6217
- **Practice address fax:** (989) 584-3427
- **Mailing address:** 8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
- **Mailing address phone:** (989) 584-3971
- **Mailing address fax:** (989) 584-6473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | — |
| 207RH0003X | Hematology & Oncology Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/08/2012
- **Last updated:** 04/08/2024