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Organization

SPARROW CARSON HOSPITAL

Active
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Organization

SPARROW CARSON HOSPITAL

Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
Sparrow Medical Group Orthopedics Carson City, University of Michigan Health-Sparrow
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
245 S 2ND ST, CARSON CITY, MI 48811-9650
(989) 584-6320
(989) 584-6426
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 253-6320
(517) 253-6321

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101016305
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200E910960
BCBSM GRP PIN
MI
Enumeration date
05/15/2006
Last updated
04/05/2024
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