Organization
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
Sparrow Urgent Care, University of Michigan Health-Sparrow Urgent Care
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
2682 E GRAND RIVER AVE, EAST LANSING, MI 48823-5608
(517) 333-6562
(517) 333-6563
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 364-6200
(517) 364-6208
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
1060000091
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C31197
BCBSM FACILITY CODE
MI
Enumeration date
07/29/2008
Last updated
03/27/2024
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