Organization
EDWARD W SPARROW HOSPITAL ASSOCIATION
Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
University of Michigan Health-Sparrow Lansing
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
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(517) 364-6000
(517) 364-6009
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 364-6000
(517) 364-6009
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
282N00000X
General Acute Care Hospital
Primary
330060
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025
BLUE CROSS
MI
01
—
200000000005
PHP FAMILY CARE SPARROW
MI
01
—
200000000470
PHP FAMILY CARE MASON UC
MI
01
—
200000000475
PHP FAMILY CARE WT MGMT
MI
05
—
301557293
—
MI
05
—
405171969
—
MI
Enumeration date
02/17/2006
Last updated
10/23/2024
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