Organization
EDWARD W. SPARROW HOSPITAL
Active
Parent organization
EDWARD W. SPARROW HOSPITAL
Other names
Sparrow Health System MICU
Organization subpart
Yes
Provider details
NPI number
Legal business name
EDWARD W. SPARROW HOSPITAL
Authorized official
MR. CHRIS EUGENE BERGMAN (SENIOR VICE PRESIDENT / CFO)
(517) 364-5400
Entity
Organization
Contact information
Practice address
1210 W SAGINAW ST, 3 RD FLOOR, LANSING, MI 48915-1927
(517) 364-7282
(517) 364-7280
Mailing address
PO BOX 13008, LANSING, MI 48901-3008
(517) 364-7282
(517) 364-7280
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59-0-C3-0008-0
BCBS GROUP NUMBER
MI
Enumeration date
11/21/2006
Last updated
03/25/2010
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