Organization
SPARROW EATON HOSPITAL
Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
University of Michigan Health-Sparrow, University of Michigan Health-Sparrow Eaton Ambulance, Hayes Green Beach Memorial Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPARROW HEALTH SYSTEM
Authorized official
MISTY GUNTER RUSSIAN (REGIONAL MANAGER, PROVIDER ENROLLME)
(517) 253-6308
Entity
Organization
Contact information
Practice address
321 E HARRIS ST, CHARLOTTE, MI 48813-1629
(517) 543-1050
(517) 543-0875
Mailing address
321 E HARRIS ST, CHARLOTTE, MI 48813-1629
(517) 543-1050
(517) 543-0875
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
231006
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00270
BLUE CROSS BLUE SHIELD
MI
05
—
18-5170783
—
MI
01
—
8100007
PHYSICIANS HEALTH PLAN
MI
01
—
8170007
PHP FAMILY CARE
MI
Enumeration date
06/26/2006
Last updated
08/28/2024
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