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NPI Code Detail

MEDICARE: SPARROW CARSON HOSPITAL

MEDICARE: SPARROW CARSON HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician5101016305MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1200E910960OTHERMIBCBSM GRP PIN

General Provider Information

NPI Number : 1437100229
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPARROW CARSON HOSPITAL
Provider Business Mailing Address
First Line : 8175 RELIABLE PKWY
Second Line :
City : CHICAGO
State : IL
Zip : 60686-0081
Country : US
Telephone Number : 517-253-6320
Fax Number : 517-253-6321
Provider Business Practice Location Address
First Line : 245 S 2ND ST
Second Line :
City : CARSON CITY
State : MI
Zip : 48811-9650
Country : US
Telephone Number : 989-584-6320
Fax Number : 989-584-6426
Authorized Official
Title or Position : SUPERVISOR, PROVIDER ENROLLMENT
Name : MISTY GUNTER RUSSIAN
Credential :
Telephone Number : 517-253-6308
Provider Enumeration Date : 05/15/2006
Last Update Date : 04/05/2024

Similar Medicare Providers

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1356898407 — CLAIRE ELIZABETH ABRAHAM
Practice Location Address:
245 S 2ND ST
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Practice Phone: 989-584-3981
Practice Fax:
1144733700 — DR. BRANDY WATSON PHARMD
Practice Location Address:
245 S 2ND ST
CARSON CITY, MI
48811-9650
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Practice Fax: 989-584-0541
1912648676 — SPARROW CARSON HOSPITAL
Practice Location Address:
245 S 2ND ST
CARSON CITY, MI
48811-9650
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Practice Fax: 517-364-5654
1699416347 — SPARROW CARSON HOSPITAL
Practice Location Address:
245 S 2ND ST
CARSON CITY, MI
48811-9650
Practice Phone: 517-364-9650
Practice Fax: 517-364-9605

Directions to “SPARROW CARSON HOSPITAL ” Practice Location

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