| Sparrow Ionia Hospital | |
|
9751 E Grand River Ave Portland MI 48875-9774 | |
| (517) 647-6722 | |
| (517) 647-6838 |
| Full Name | Sparrow Ionia Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 9751 E Grand River Ave, Portland, Michigan |
| Authorized Official Name and Position | Misty Gunter Russian (SUPERVISOR. PROVIDER ENROLLMENT) |
| Authorized Official Contact | 5172536308 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparrow Ionia Hospital 8175 Reliable Pkwy Chicago IL 60686-0081 Ph: (616) 523-1400 | Sparrow Ionia Hospital 9751 E Grand River Ave Portland MI 48875-9774 Ph: (517) 647-6722 |
| NPI Number | 1295801108 |
|---|---|
| Provider Enumeration Date | 11/24/2006 |
| Last Update Date | 03/11/2024 |
| Medicare PECOS PAC ID | 0042118887 |
|---|---|
| Medicare Enrollment ID | O20090219000238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295801108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | 238631 (Michigan) | Primary |
Mclaren Central Michigan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 Kent St, Portland, MI 48875 Phone: 517-647-4166 Fax: 517-647-2473 | |
Ionia County Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9751 E Grand River Ave, Portland, MI 48875 Phone: 517-647-6722 Fax: 517-647-6838 |