Organization
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULA M. REICHLE (CHIEF FINANCIAL OFFICER)
(517) 364-1000
Entity
Organization
Contact information
Practice address
1215 E. MICHIGAN AVENUE, LANSING, MI 48909-7980
(517) 364-6000
(517) 364-6009
Mailing address
P.O. BOX 30480, 1215 E. MICHIGAN AVENUE, LANSING, MI 48909-7980
(517) 364-6000
(517) 364-6009
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025
BLUE CROSS, BCN
MI
01
—
200000000005
PHP
MI
05
—
301557293
—
MI
Enumeration date
08/16/2006
Last updated
11/09/2016
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