Edward W. Sparrow Hospital Association
Organization Active NPI Rehabilitation Hospital Unit · Lansing, MI
NPI 1477512424 · NPPES record last updated Sep 17, 2025
Key facts
- NPI
- 1477512424
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Hospital Unit 273Y00000X
- License
- 330060 (MI)
- Legal business name
- EDWARD W. SPARROW HOSPITAL ASSOCIATION
- Practice address
- 1215 E. Michigan Avenue
Lansing, MI 48909-7980 - Phone
- (517) 364-6000
- Fax
- (517) 364-6009
- NPI assigned
- Mar 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Misty Russian
- Title
- Supervisor, Provider Enrollment
- Phone
- (517) 253-6308
Owners & managing parties with NPI records 4
-
Gregory A Holzhei, D.O.
-
Lakeeya K Tucker, DO
-
Matthew D Wilcox, DO
-
Harper T Wildern, O.D.
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 48
Member of 1
Related certifications (CCN) 2
Practitioners 2
-
Gregory John Gilmour, D.C.
-
Harnoor S Tokhie, D.O.
Affiliated clinicians 4
-
Gregory John Gilmour, D.C.
-
Jeffrey Youping Lin, DPM
-
Harnoor S Tokhie, D.O.
Medicare Care Compare: Inpatient rehabilitation facility
- Listed as
- Mary Free Bed at Sparrow
- Ownership
- Non-profit
- Certified
- Jan 1, 1985
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Hospital certification: CCN 23T230
- Legal name
- EDWARD W SPARROW HOSPITAL ASSOCIATION
- Doing business as
- UNIVERSITY OF MICHIGAN HEALTH-SPARROW
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 1215 E Michigan Ave
Lansing, MI 48912-1811 - Hospital subgroups
- Acute care, Rehabilitation unit
All disclosed owners & managing parties 19
| Name | Role | Since | Share |
|---|---|---|---|
| Matthew D Wilcox |
Corporate Officer |
Jul 1, 2025 | |
| Eric J Strucko |
Corporate Officer |
Jul 1, 2025 | |
| Laura M Gibson |
Corporate Officer |
Jul 1, 2025 | |
| Um Health |
5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 100% |
| Regents of the University of Michigan |
5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 100% |
| Candace S Metcalf |
Corporate Officer |
Jul 1, 2025 | |
| Harper T Wildern |
Corporate Officer |
Jul 1, 2025 | |
| Margaret a Dimond |
Corporate Director |
Apr 1, 2024 | |
| W-2 Managing Employee |
Apr 1, 2024 | ||
| Misty Gunter Russian |
W-2 Managing Employee |
Jan 1, 2024 | |
| Daniel Balice |
Corporate Officer |
Jul 1, 2025 | |
| Carol Priebe Wiles |
Corporate Officer |
Jul 1, 2025 | |
| Sparrow Health System |
5% Or Greater Direct Ownership Interest | Jan 1, 1990 | 100% |
| John Milewski |
Corporate Officer |
Jul 1, 2025 | |
| Gregory a Holzhei |
Corporate Officer |
Jul 1, 2025 | |
| John Hendrickson |
Corporate Officer |
Jul 1, 2025 | |
| Bruce a Courtade |
Corporate Officer |
Jul 1, 2025 | |
| Anthony Mazzali |
Corporate Officer |
Jul 1, 2025 | |
| Timothy L Williams |
Corporate Officer |
Jul 1, 2025 | |
| Lakeeya K Tucker |
Corporate Officer |
Jul 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070222000183 | MI | Part a Provider - Hospital | 6709799166 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lansing, MI |
National Provider Directory
- Tax ID family
- James S Scott MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | 330060 | MI | Yes |
Addresses
Primary practice location
1215 E. Michigan Avenue
Lansing, MI 48909-7980
Mailing address
8175 Reliable Pkwy
Chicago, IL 60686-0081
Phone (517) 364-7999
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200000000005 | Other | MI | PHP |
| 00025 | Other | MI | BLUE CROSS |
| 2775312 | Medicaid | MI |
Other names
- University of Michigan Health-Sparrow
Other providers in Lansing, MI
- Edward W. Sparrow Hospital Association
- Edward W. Sparrow Hospital Association
- Edward W. Sparrow Hospital Association
- Edward W. Sparrow Hospital Association
- Edward W. Sparrow Hospital Association
- Edward W. Sparrow Hospital Association
- Edward W. Sparrow Hospital Association
- Edward W. Sparrow Hospital Association
- Edward W. Sparrow Hospital Association
- Edward W. Sparrow Hospital Association
All providers in Lansing, MI · Rehabilitation Hospital Unit in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.