Organization
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Active
Parent organization
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Other names
Mason Community Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Authorized official
MRS. DIANE S GALLUPS (DIRECTOR PROFESSIONAL BILLING)
(517) 364-6251
Entity
Organization
Contact information
Practice address
800 E COLUMBIA ST, MASON, MI 48854-1381
(517) 244-8900
(517) 244-8911
Mailing address
PO BOX 13008, LANSING, MI 48901-3008
(517) 244-8900
(517) 244-8911
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010C361320
BCBS GROUP NUMBER
MI
Enumeration date
08/07/2006
Last updated
06/21/2013
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