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Contact Information

EDWARD W. SPARROW HOSPITAL ASSOCIATION
2900 HANNAH BLVD
SUITE B102
EAST LANSING, MI48823-5384
 Phone: 517-364-8070
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for EDWARD W. SPARROW HOSPITAL ASSOCIATION

NPI Number 1598145997
LBN Legal business name EDWARD W. SPARROW HOSPITAL ASSOCIATION
Authorized official MISTY RUSSIAN - (SUPERVISOR PROVIDER ENROLLMENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/02/2015
Last updated 04/01/2025 - More than a year ago
Identifiers
MI License # 1060000091
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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