Organization
SPARROW EATON HOSPITAL
Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
Hayes Green Beach Memorial Hospital, University of Michigan Health-Sparrow Eaton
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
321 E HARRIS ST, CHARLOTTE, MI 48813-1629
(517) 543-1050
(517) 543-0875
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 253-6320
(517) 253-6321
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
230020
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00270
BLUE CROSS BLUE SHIELD
MI
05
—
1556400
—
MI
01
—
5000007
PHYSICIANS HEALTH PLAN
MI
05
—
5170783
—
MI
01
—
6330240
AETNA
MI
Enumeration date
05/19/2006
Last updated
03/18/2024
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