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SPARROW EATON HOSPITAL NPI 1225237613


NPI Information

NPI: 1225237613
Provider Name: SPARROW EATON HOSPITAL

Doing Business As: UNIVERSITY OF MICHIGAN HEALTH-SPARROW CHARLOTTE 111 PRIMARY CARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 23D2143082

Address:
111 LANSING ST STE 230
CHARLOTTE, MI
ZIP 48813
Phone: (175) 435-1105
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SPARROW EATON HOSPITAL is a family medicine in Charlotte, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SPARROW EATON HOSPITAL NPI is 1225237613. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As University Of Michigan Health-sparrow Charlotte 111 Primary Care.

The provider's business location address is:

111 LANSING ST STE 230
CHARLOTTE, MI
ZIP 48813-400
Phone: (175) 435-1105
Fax: (517) 543-9776

The provider's authorized official is Misty Gunter Russian .
The authorized official title is Supervisor, Provider Enrollment and has the following contact phone number (517) 253-6308.

The CLIA number assigned to this NPI record is 23D2143082 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/16/2007 and was last updated on 3/18/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine230020MICHIGANYes
2261QX0200XClinic/CenterOncologyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10B36007OTHERMICHIGANBCN FAMILY PRACTICE GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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