Srcc Pediatric Hospitalist

LBN: Edward W. Sparrow Hospital Association
Srcc Pediatric Hospitalist is an health care organization with primary practice located at 1200 E Michigan Ave Suite 460, Lansing MI 48912-1800. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Edward W. Sparrow Hospital Association can be contacted via phone (517) 364-2097, or through Russian, Misty Gunter via phone (517) 253-6308.

Contact Information

Primary practice address
1200 E Michigan Ave Suite 460 Lansing MI 48912-1800
Phone: (517) 364-2097
Fax: (517) 364-2077
Website:
Map and Directions
Authorized official contact:
Name: Russian, Misty Gunter
Phone: (517) 253-6308

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1720034499
LBN Legal business name Edward W. Sparrow Hospital Association
DBA Doing business as Srcc Pediatric Hospitalist
Authorized official Russian, Misty Gunter
Entity Organization
Organization subpart 1 Yes
Enumeration date May 25th, 2006
Last updated Mar 27th, 2024 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720034499 NPPES
Michigan Other 350C313590 BCBS GROUP NUMBER

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