GRAND LEDGE PUBLIC SCHOOLS HEALTH CENTER – NPI #1841079787
Family Medicine

A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

Health Care Provider Taxonomy Code for Family Medicine

GRAND LEDGE PUBLIC SCHOOLS HEALTH CENTER is a provider located in GRAND LEDGE, MI. NPPES has assigned the NPI number 1841079787 to GRAND LEDGE PUBLIC SCHOOLS HEALTH CENTER on September 28, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GRAND LEDGE PUBLIC SCHOOLS HEALTH CENTER” is a dba name, the actual legal business name for this organization is SPARROW EATON HOSPITAL. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QA0000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adolescent Medicine

The NPI profile was last updated on Nov 08, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GRAND LEDGE PUBLIC SCHOOLS HEALTH CENTER below.

NPI Profile for
SPARROW EATON HOSPITAL

NPI Number
1841079787
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SPARROW EATON HOSPITAL
Doing Business As (dba): GRAND LEDGE PUBLIC SCHOOLS HEALTH CENTER
Primary location
820 SPRING ST STE 100
GRAND LEDGE, MI 48837-1834
Phone: (517) 925-5590 Fax: (517) 925-5590
Mailing address
8175 RELIABLE PKWY
CHICAGO, IL 60686-0081
Phone: (517) 253-6320 Fax: (517) 253-6321
Organization Subpart
Yes - GRAND LEDGE PUBLIC SCHOOLS HEALTH CENTER is subpart of another organization.
Authorized Official
MISTY RUSSIAN
SUPERVISOR, PROVIDER ENROLLMENT
Phone: (517) 253-6308
Updated
Certification Date
Nov 08, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0000X
- Family Medicine / Adolescent Medicine (Primary)
1041C0700X
- Social Worker / Clinical

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.