Organization
EDWARD W. SPARROW HOSPITAL
Active
Organization
EDWARD W. SPARROW HOSPITAL
Active
Parent organization
EDWARD W. SPARROW HOSPITAL
Other names
Sparrow Regional Children's Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
EDWARD W. SPARROW HOSPITAL
Authorized official
MR. CHRIS EUGENE BERGMAN (SENIOR VICE PRESIDENT / CFO)
(517) 364-5400
Entity
Organization
Contact information
Practice address
1200 E MICHIGAN AVE, SUITE 460, LANSING, MI 48912-1800
(517) 364-5490
(517) 364-5499
Mailing address
PO BOX 13008, LANSING, MI 48901-3008
(517) 364-5490
(517) 364-5499
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C31312
BCBS DME GROUP NUMBER
MI
Enumeration date
11/24/2006
Last updated
03/25/2010
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