Provider Demographics
NPI:1093456758
Name:SPARROW EATON HOSPITAL
Entity Type:Organization
Organization Name:SPARROW EATON HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:AMI
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:KIHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-253-6000
Mailing Address - Street 1:PO BOX 13008
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48901-3008
Mailing Address - Country:US
Mailing Address - Phone:517-253-6308
Mailing Address - Fax:517-253-6393
Practice Address - Street 1:321 E HARRIS ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:MI
Practice Address - Zip Code:48813-1629
Practice Address - Country:US
Practice Address - Phone:517-364-5655
Practice Address - Fax:517-364-5654
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SPARROW EATON HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-04-06
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Multi-Specialty