Organization
SPARROW CARSON HOSPITAL
Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
University of Michigan Health-Sparrow Ithaca Primary Care, University of Michigan Health-Sparrow, Sparrow Medical Group Ithaca
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
114 N MAIN ST, ITHACA, MI 48847
(989) 875-4166
(989) 875-3600
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(989) 584-3131
(989) 584-6734
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/25/2006
Last updated
04/08/2024
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