Healthcare Provider Details

I. General information

NPI: 1780829036
Provider Name (Legal Business Name): SPARROW HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2008
Last Update Date: 12/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 E MICHIGAN AVE
LANSING MI
48912-1800
US

IV. Provider business mailing address

1200 E MICHIGAN AVE
LANSING MI
48912-1800
US

V. Phone/Fax

Practice location:
  • Phone: 517-364-5772
  • Fax:
Mailing address:
  • Phone: 517-364-5772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number4301093203
License Number StateMI

VIII. Authorized Official

Name: DR. RAVINDER SINGH
Title or Position: RESIDENT PHYSICIAN
Credential: M.D
Phone: 517-364-5772