Organization
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Active
Parent organization
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Other names
Sparrow Behavioral Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Authorized official
MS. DIANE S GALLUPS (DIRECTOR, PROFESSIONAL BILLING)
(517) 364-6251
Entity
Organization
Contact information
Practice address
1210 W SAGINAW ST, 2ND FLOOR, LANSING, MI 48915-1927
(517) 364-7700
(517) 364-7701
Mailing address
PO BOX 13008, LANSING, MI 48901-3008
(517) 364-7700
(517) 364-7701
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68-0-C3-1108-0
BCBS GROUP NUMBER
MI
Enumeration date
11/21/2006
Last updated
06/21/2013
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