Organization
SPARROW EATON HOSPITAL
Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
University of Michigan Health-Sparrow, University of Michigan Health-Sparrow Eaton, HAYES GREEN BEACH MEMORIAL HOSPITAL
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
111 LANSING ST, SUITE 230, CHARLOTTE, MI 48813-2400
(517) 543-9563
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 485-0001
(517) 485-1138
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B31001
BCBSM
MI
Enumeration date
11/20/2007
Last updated
04/08/2024
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