Organization · Type 2 NPI

Sparrow Ionia Hospital

Rural Health Clinic/Center · Portland, MI

NPI number 1295801108 Active

Practice location

9751 E Grand River Ave
Portland, MI 48875-9774

Call (517) 647-6722 Map

Fax (517) 647-6838

Mailing address

8175 Reliable Pkwy
Chicago, IL 60686-0081

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Rural Health Clinic/Center Primary	261QR1300X	238631 (MI)

Rural Health Clinic/Center: Definition to come...

5 other providers at this address

Other rural health clinic/center providers in Portland

McLaren Central MichiganRural Health Clinic/Center Portland, MI NPI 1588285415
Ionia County Memorial HospitalRural Health Clinic/Center Portland, MI NPI 1609011923

See all in Portland →

NPI record

NPI: 1295801108
Entity type: Organization (Type 2)
Issued: Nov 24, 2006
Last updated: Mar 11, 2024
Status: Active
Subpart: Yes of Sparrow Health System

Other names

<unavail>
SMG Portland · doing business as
University of Michigan Health-Sparrow Portland Primary Care · doing business as

Authorized official

Misty Gunter Russian
Supervisor. Provider Enrollment
(517) 253-6308

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1295801108

Sparrow Ionia Hospital's National Provider Identifier is 1295801108, issued on Nov 24, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Portland, MI. The record was last updated on Mar 11, 2024.