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EDWARD W SPARROW HOSPITAL ASSOCIATION NPI 1437400413


NPI Information

NPI: 1437400413
Provider Name: EDWARD W SPARROW HOSPITAL ASSOCIATION

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

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 23D2050617

Address:
2040 AURELIUS RD STE 22
HOLT, MI
ZIP 48842
Phone: (517) 694-2217
Get Directions

EDWARD W SPARROW HOSPITAL ASSOCIATION is a family medicine in Holt, 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. EDWARD W SPARROW HOSPITAL ASSOCIATION NPI is 1437400413. 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 Holt Primary Care.

The provider's business location address is:

2040 AURELIUS RD STE 22
HOLT, MI
ZIP 48842-367
Phone: (517) 694-2217
Fax: (176) 942-6555

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 23D2050617 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/1/2012 and was last updated on 3/26/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

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: 4/28/2024

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