Organization
SPARROW IONIA HOSPITAL
Active
Organization
SPARROW IONIA HOSPITAL
Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
UNIVERSITY OF MICHIGAN HEALTH-SPARROW IONIA CRNA SERVICES, SPARROW IONIA HOSPITAL CRNA SERVICES
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) 523-1498
(616) 523-1429
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 364-6253
(517) 364-6204
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C41009
BCBS
MI
05
—
1710900659
—
MI
Enumeration date
07/25/2006
Last updated
03/11/2024
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