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Organization

SPARROW CARSON HOSPITAL

Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
University of Michigan Health-Sparrow Carson Hospital Emergency Depart, University of Michigan Health-Sparrow, Sparrow Carson Emergency Physicians
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
406 E ELM ST, CARSON CITY, MI 48811
(989) 584-3131
(989) 584-6165
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(989) 584-3131
(989) 584-6165

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
700E96005
BCBS
Enumeration date
07/19/2006
Last updated
04/08/2024
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