Provider Demographics
NPI:1760710719
Name:EDWARD W SPARROW HOSPITAL ASSOCIATION
Entity Type:Organization
Organization Name:EDWARD W SPARROW HOSPITAL ASSOCIATION
Other - Org Name:THORACIC CARDIOVASCULAR INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR BUSINESS OPERATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:S
Authorized Official - Last Name:GALLUPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-887-2511
Mailing Address - Street 1:3500 S CEDAR ST
Mailing Address - Street 2:SUITE 116
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-4699
Mailing Address - Country:US
Mailing Address - Phone:517-887-2511
Mailing Address - Fax:517-882-4144
Practice Address - Street 1:1140 E. MICHGAN AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912
Practice Address - Country:US
Practice Address - Phone:517-483-7550
Practice Address - Fax:517-483-8436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital