Organization
SPARROW CLINTON HOSPITAL
Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
University of Michigan Health-Sparrow Clinton CRNA Services, Sparrow Clinton Hospital CRNA Services
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
805 S OAKLAND ST, SAINT JOHNS, MI 48879-2253
(989) 227-3583
(989) 224-8744
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(989) 227-3583
(989) 224-8744
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430A960080
BLUECROSSBLUESHIELD GROUP
MI
Enumeration date
10/13/2006
Last updated
03/11/2024
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