SPARROW IONIA HOSPITAL NPI 1295801108

NPI Information

NPI: 1295801108
Provider Name: SPARROW IONIA HOSPITAL

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

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 23D2062549

Address:
9751 E GRAND RIVER AVE
PORTLAND, MI
ZIP 48875
Phone: (517) 647-6722
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SPARROW IONIA HOSPITAL is a rural health clinic center in Portland, MI. SPARROW IONIA HOSPITAL NPI is 1295801108. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As University Of Michigan Health-sparrow Portland Primary Care.

The provider's business location address is:

9751 E GRAND RIVER AVE
PORTLAND, MI
ZIP 48875-774
Phone: (517) 647-6722
Fax: (517) 647-6838

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 23D2062549 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/24/2006 and was last updated on 3/11/2024.

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
1	207Q00000X	Family Medicine				No
2	261QR1300X	Clinic/Center	Rural Health	238631	MICHIGAN	Yes

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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