Organization
SPARROW CLINTON HOSPITAL
Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
University of Michigan Health-Sparrow St. Johns Primary Care, SMG St Johns
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
901 S OAKLAND ST, SAINT JOHNS, MI 48879-2200
(989) 224-2338
(989) 224-2065
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 364-6287
(517) 364-6204
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306893078
—
MI
01
—
70-0-A9-1002-0
BCBS
MI
Enumeration date
05/28/2006
Last updated
03/11/2024
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