Organization
SPARROW COMMUNITY CARE
Active
Other names
Sparrow Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TOBIN (EXECUTIVE DIRECTOR)
(517) 364-8044
Entity
Organization
Contact information
Practice address
3192 COMMERCE LN, SUITE C4, IONIA, MI 48846-9816
(616) 522-0515
(616) 522-0517
Mailing address
3301 E MICHIGAN AVE STE A, LANSING, MI 48912-4641
(517) 364-2115
(517) 364-1227
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
383243561
MI
332BX2000X
Oxygen Equipment & Supplies (DME)
383243561
MI
335E00000X
Prosthetic/Orthotic Supplier
383243561
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1675330
—
MI
01
—
540C302640
BCBS
MI
Enumeration date
03/22/2007
Last updated
12/30/2024
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