Organization
SPARROW COMMUNITY CARE
Active
Organization
SPARROW COMMUNITY CARE
Active
Other names
University of Michigan Health-Sparrow Medical Supply, Sparrow Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY GUNTER RUSSIAN (REGIONAL MANAGER, PROVIDER ENROLLME)
(517) 253-6308
Entity
Organization
Contact information
Practice address
201 S COCHRAN AVE, CHARLOTTE, MI 48813-1550
(517) 543-0978
(517) 541-1548
Mailing address
3301 E MICHIGAN AVE, LANSING, MI 48912-4641
(517) 364-2115
(517) 371-1227
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MI
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
MI
332BX2000X
Oxygen Equipment & Supplies (DME)
—
MI
Other
Enumeration date
09/18/2012
Last updated
12/30/2024
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