UNIVERSITY OF MICHIGAN HEALTH-SPARROW ITHACA PRIMARY CARE
NPI 1770553547
Clinic/Center - Rural Health in Ithaca, MI

Active since January 25, 2006CLIA 23D0692555 · Waiver
114 N MAIN ST, ITHACA, MI 48847(989) 875-4166(989) 875-3600 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About University Of Michigan Health-sparrow Ithaca Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNIVERSITY OF MICHIGAN HEALTH-SPARROW ITHACA PRIMARY CARE (NPI 1770553547), doing business as University Of Michigan Health-sparrow, is a healthcare organization registered as a rural health in Ithaca, Michigan and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through October 22, 2027 and lists Misty Gunter Russian, Supervisor, Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1770553547
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSPARROW CARSON HOSPITAL
Location Address114 N MAIN STIthaca, MI 48847
Mailing Address8175 Reliable PkwyChicago, IL 60686-0081 · (989) 584-3131 · Fax (989) 584-6734
Fax(989) 875-3600
Organization SubpartYesParent: Sparrow Health System
Authorized OfficialMisty Gunter RussianSupervisor, Provider Enrollment · (517) 253-6308
Enumeration DateJanuary 25, 2006
Last NPPES UpdateApril 8, 2024
NPPES CertifiedApril 8, 2024
NPI 1770553547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
114 N MAIN ST, Ithaca, MI 48847

Other Names 3

Other NameUniversity Of Michigan Health-sparrow Ithaca Primary Care
Doing Business AsUniversity Of Michigan Health-sparrow
Other NameSparrow Medical Group Ithaca

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0692555

University Of Michigan Health - Sparrow Ithaca Primary Care · Ithaca, MI
Active · expires Oct 22, 2027
CLIA Number23D0692555
Laboratory TypePhysician Office
Certificate Effective DateOctober 23, 2025
Certificate Expiration DateOctober 22, 2027
Laboratory DirectorDavid J. Freestone
Laboratory Phone(989) 875-4166
Laboratory LocationUniversity Of Michigan Health - Sparrow Ithaca Primary Care114 North Main Street, Ithaca, MI 48847
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
114 N MAIN ST
ITHACA, MI 48847
Family Medicine
114 N MAIN ST
ITHACA, MI 48847
Nurse Practitioner (Family)
114 N MAIN ST
ITHACA, MI 48847
Family Medicine
114 N MAIN ST
ITHACA, MI 48847
Physician Assistant
114 N MAIN ST
ITHACA, MI 48847
Surgery
114 N MAIN ST
ITHACA, MI 48847
Family Medicine
114 N MAIN ST
ITHACA, MI 48847
Family Medicine
114 N MAIN ST
ITHACA, MI 48847

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sparrow Carson Hospital's NPI number?

The NPI number for Sparrow Carson Hospital is 1770553547. It was assigned to this organization in the NPPES registry on January 25, 2006. The provider is doing business as University of Michigan Health-Sparrow. The provider is also known as University Of Michigan Health-Sparrow Ithaca Primary Care and Sparrow Medical Group Ithaca.

Where is Sparrow Carson Hospital located?

Sparrow Carson Hospital is located at 114 N Main St, Ithaca, MI 48847. The listed phone number is (989) 875-4166.

What is Sparrow Carson Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Sparrow Carson Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0692555) is associated with this NPI, valid through October 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sparrow Carson Hospital accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Sparrow Carson Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sparrow Carson Hospital was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.