Organization
SPARROW IONIA HOSPITAL
Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
UNIVERSITY OF MICHIGAN HEALTH-SPARROW IONIA
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
3565 S STATE RD, IONIA, MI 48846-9416
(616) 523-1400
(616) 523-1429
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(616) 523-1400
(616) 523-1429
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
340021
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00142
BLUE CROSS BLUE SHIELD
MI
01
—
1001006
MCLAREN HEALTH PLAN
MI
05
—
301557758
—
MI
05
—
405170925
—
MI
01
—
60054
AETNA
MI
01
—
667
PRIORITY HEALTH
MI
Enumeration date
06/16/2006
Last updated
06/05/2024
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