SPARROW IONIA HOSPITAL (NPI# 1144382250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144382250 |
| Entity Type | Organization |
| Organization Name | SPARROW IONIA HOSPITAL |
| Other Organization Name | SMG MUIR |
| Practice Address |
1044 Hayden Road Muir MI 48860 |
| Mailing Address |
Po Box 13008 Lansing MI 48901-3008 |
| Practice Telephone | 9898552755 |
| Practice Fax Number | 9898552766 |
| Mailing Telephone | 5173646200 |
| Mailing Fax Number | 5173646208 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2015-01-05 |
| Authorized Official Name | WILLIAM ROESER (CEO) |
| Authorized Official Telephone | 9898552766 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPARROW IONIA HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
1060000167 | MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1144382250 | 05 | |
| MI | MEDICARE PTAN | MI8193 | 01 |
| MI | BCBS | 0C40058 | 01 |
| Other Name | Type Code |
|---|---|
| SMG Muir | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851669055 | Sparrow Ionia Hospital | General Practice | 848 E Lincoln Ave, Ionia, MI 48846-1314 | 2011-12-02 |
| 1033271143 | Sparrow Ionia Hospital | Family Medicine | 550 East Washington Street, Ionia, MI 48846 | 2006-12-14 |
| 1336220342 | Sparrow Ionia Hospital | Obstetrics & Gynecology | 58 N. Bridge St., Saranac, MI 48881 | 2006-10-17 |
| 1568550655 | Sparrow Ionia Hospital | Physical Medicine & Rehabilitation | 429 W Lincoln Ave, Suite H, Ionia, MI 48846-1144 | 2006-10-11 |
| 1851849392 | Sparrow Ionia Hospital | Clinic/Center | 107 N Bridge St, Saranac, MI 48881-5121 | 2016-09-13 |
| 1811380066 | Sparrow Ionia Hospital | Family Medicine | 107 N Bridge St, Saranac, MI 48881-5121 | 2015-03-12 |
| 1962706523 | Sparrow Ionia Hospital | Pharmacy | 3565 S State Rd, Ionia, MI 48846-9416 | 2010-12-22 |
| 1790980712 | Sparrow Ionia Hospital | Family Medicine | 550 E Washington St, Ionia, MI 48846-2202 | 2007-06-19 |
| 1013079128 | Sparrow Ionia Hospital | Pediatrics | 550 E Washington St, Ionia, MI 48846-2202 | 2006-12-14 |
| 1881760908 | Sparrow Ionia Hospital | Internal Medicine | 550 E Washington St, Ionia, MI 48846-2202 | 2006-11-28 |
| Street Address |
1044 HAYDEN ROAD |
| City | MUIR |
| State | MI |
| Zip Code | 48860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700010725 | Victoria A Miller | Behavioral Analyst | 104 E Wiconisco St, Muir, PA 17957-9710 | 2009-05-05 |
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.