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Organization

EDWARD W. SPARROW HOSPITAL ASSOCIATION

Active
Parent organization
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Other names
SFMS Bone Density Clinic
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
1575 RAMBLEWOOD DR, EAST LANSING, MI 48823-6384
(517) 332-3500
(517) 332-3046
Mailing address
PO BOX 13008, LANSING, MI 48901-3008
(517) 332-3500
(517) 332-3046

Taxonomy

Speciality
Code
Description
License number
State
2471B0102X
Bone Densitometry Radiologic Technologist
Primary
261QR0200X
Radiology Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080C311360
BCBS GROUP NUMBER
MI
Enumeration date
05/25/2006
Last updated
06/21/2013
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