NPIMap

Organization Active NPI

Sparrow Ionia Hospital

Doing business as University of Michigan Health-Sparrow Ionia

  • Critical Access Hospital
  • Ionia, MI
National Provider Identifier
1700820065
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
340021 Issued in MI
Legal business name
SPARROW IONIA HOSPITAL
Doing business as
University of Michigan Health-Sparrow Ionia
Practice address
3565 S State Rd
Ionia, MI 48846-9416
Phone
(616) 523-1400
Fax
(616) 523-1429
NPI assigned
Jun 16, 2006
Last updated
Jun 5, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SPARROW HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Misty Gunter Russian
Title
Supervisor, Provider Enrollment
Phone
(517) 253-6308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 340021 MI Primary

Addresses

Primary practice location

3565 S State Rd
Ionia, MI 48846-9416

Mailing address

8175 Reliable Pkwy
Chicago, IL 60686-0081
Phone (616) 523-1400

Other identifiers 6

IdentifierTypeStateIssuer
60054OtherMIAETNA
667OtherMIPRIORITY HEALTH
00142OtherMIBLUE CROSS BLUE SHIELD
1001006OtherMIMCLAREN HEALTH PLAN
405170925MedicaidMI
301557758MedicaidMI

Other names 1

  • UNIVERSITY OF MICHIGAN HEALTH-SPARROW IONIA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031230000664 MI Part B Supplier - Clinic/Group Practice 0042118887 Receives reassigned benefits from 366 practitioners
12 other NPIs on this enrollment
Practice locations: Carson City, MI; Ionia, MI; Portland, MI; Saint Johns, MI
O20060322000295 MI Part A Provider - Critical Access Hospital 0042118887 Receives reassigned benefits from 152 practitioners
Practice locations: Ionia, MI; Portland, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700820065. Details of each certification follow.

Hospital certification: CCN 231331

Legal name
SPARROW IONIA HOSPITAL
Doing business as
UNIVERSITY OF MICHIGAN HEALTH-SPARROW IONIA
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 1, 2005
Last certification
Oct 7, 2005
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
3565 S State Rd
Ionia, MI 48846-9416
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Sparrow Ionia HospitalCCN 231331 · All quality measures
Overall star rating
2 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Sparrow Health System

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Matthew D Wilcox Individual Corporate OfficerBoard Member Jul 1, 2025
Eric J Strucko Individual Corporate OfficerBoard Member / Treasurer Jul 1, 2025
Laura M Gibson Individual Corporate OfficerBoard Member Jul 1, 2025
Um Health Organization, Ann Arbor, MI Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 1, 2023 100%
Regents of the University of Michigan Organization, Ann Arbor, MI Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2023 100%
Candace S Metcalf Individual Corporate OfficerBoard Member Jul 1, 2025
Harper T Wildern Individual Corporate OfficerBoard Member / Board Chair Jul 1, 2025
Margaret a Dimond Individual Corporate DirectorCeo/President Umh Regional Network Jan 1, 2024
W-2 Managing EmployeeCeo/President Umh Regional NE Jan 1, 2024
Misty Gunter Russian Individual W-2 Managing EmployeeSupervisor, Provider Enrollme Jan 1, 2024
Daniel Balice Individual Corporate OfficerBoard Member Jul 1, 2025
Carol Priebe Wiles Individual Corporate OfficerBoard Member Jul 1, 2025
Sparrow Health System Organization, Lansing, MI Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2010 100%
John Milewski Individual Corporate OfficerBoard Member Jul 1, 2025
Gregory a Holzhei Individual Corporate OfficerBoard Member/ Secretary Jul 1, 2025
John Hendrickson Individual Corporate OfficerBoard Member/ Vice Chair Jul 1, 2025
Bruce a Courtade Individual Corporate OfficerBoard Member Jul 1, 2025
Anthony Mazzali Individual Corporate OfficerBoard Member Jul 1, 2025
Timothy L Williams Individual Corporate OfficerBoard Member Jul 1, 2025
Lakeeya K Tucker Individual Corporate OfficerBoard Member Jul 1, 2025

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 19

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 19

Practitioners & affiliated clinicians

Practitioners 375

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 375

Affiliated clinicians 176

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 176

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1700820065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8175 RELIABLE PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606860081",
            "telephone_number": "616-523-1400",
            "fax_number": "616-523-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3565 S STATE RD",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488469416",
            "telephone_number": "616-523-1400",
            "fax_number": "616-523-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARROW IONIA HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPARROW HEALTH SYSTEM",
        "enumeration_date": "2006-06-16",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "RUSSIAN",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "GUNTER",
        "authorized_official_title_or_position": "SUPERVISOR, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "517-253-6308"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MI",
            "license": "340021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "60054",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "667",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00142",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN",
            "identifier": "1001006",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405170925",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301557758",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNIVERSITY OF MICHIGAN HEALTH-SPARROW IONIA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ionia, MI

Sources for this page

Verify at the official NPI Registry.