Organization
SPARROW EATON HOSPITAL
Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
University of Michigan Health-Sparrow, Hayes Green Beach Memorial Hospital, University of Michigan Health-Sparrow Eaton
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
321 E HARRIS ST, CHARLOTTE, MI 48813-1629
(517) 541-5927
(517) 543-0875
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-3008
(517) 253-6320
(517) 253-6321
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
230020
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B36009
BCN CRNA GROUP NUMBER
MI
Enumeration date
07/16/2007
Last updated
04/08/2024
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