Healthcare Provider Details

I. General information

NPI: 1740461524
Provider Name (Legal Business Name): SPARROW EATON HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2007
Last Update Date: 02/13/2020
Certification Date: 02/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 LANSING ST SUITE 2
CHARLOTTE MI
48813-1696
US

IV. Provider business mailing address

1701 LAKE LANSING RD SUITE 100
LANSING MI
48912-3798
US

V. Phone/Fax

Practice location:
  • Phone: 517-543-7976
  • Fax: 517-543-9528
Mailing address:
  • Phone: 517-485-0001
  • Fax: 517-485-1138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: TAMMY MERRITT
Title or Position: DIRECTOR OF PHYSICIAN PRACTICES
Credential:
Phone: 517-543-1050