Organization
SPARROW CLINTON HOSPITAL
Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
UNIVERSITY OF MICHIGAN HEALTH-SPARROW CLINTON HOSPITAL EMERGENCY DEPAR
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) 224-6881
(989) 227-3347
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(989) 224-6881
(989) 227-3347
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A960020
BCBSM BILL PIN
MI
Enumeration date
10/20/2006
Last updated
03/11/2024
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