Organization

Sparrow Clinton Hospital

May also be knows as Smg St Johns

Multi-Specialty Clinic/Center in Saint Johns, MI(View on Map)

Legal Business Name

Sparrow Clinton Hospital

Also Known As

Smg St Johns

NPI Number

1306893078

NPI Type

Organization

Enumeration Date

05/28/2006

Specialties

(Taxonomies)

Code

261QM1300X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

8175 RELIABLE PKWY
901 S OAKLAND ST

City

Chicago
Saint Johns

State

IL
MI

Postal Code

60686-0081
48879-2200

Country

US
US

Telephone Number

(517) 364-6287
(989) 224-2338

Authorized Official

Name

Misty Russian

Title or Position

SUPERVISOR, PROVIDER ENROLLMENT

Telephone Number

(517) 253-6308

Identifiers

Identifier

70-0-A9-1002-0
1306893078

Identifier State

MI
MI

Identifier Issuer

BCBS
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/11/2024

Provider Address

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