Sparrow Carson Hospital

NPI #1770553547 in Ithaca, Michigan

Provider Information

NPI Number
1770553547
Entity Type
Organization
Organization Name
Sparrow Carson Hospital
Subpart
Yes (part of a larger organization)
Parent Organization
SPARROW HEALTH SYSTEM
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Jan 25, 2006
Last Updated
Apr 8, 2024

Practice Location

Address
114 N MAIN ST
City
Ithaca
ZIP Code
48847
Phone
(989) 875-4166

Authorized Official

Name
MISTY GUNTER RUSSIAN
Title
SUPERVISOR, PROVIDER ENROLLMENT
Phone
(517) 253-6308

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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