Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sparrow Ionia Hospital

Organization Family Medicine Physician · NPI 1295801108

Sparrow Ionia Hospital provides Family Medicine Physician services in Portland, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
Specialties on file
2

Practice location Address checks out

9751 E Grand River Ave
Portland, MI 48875-9774
Phone: (517) 647-6722
Fax: (517) 647-6838
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X · Licence 238631 (MI)
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1295801108
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSparrow Health System
Authorized official Misty Russian — Supervisor. Provider Enrollment · (517) 253-6308
Other names Smg Portland; University Of Michigan Health-Sparrow Portland Primary Care
NPI enumeratedNovember 24, 2006
Last updated in NPPESMarch 11, 2024
Certification dateMarch 11, 2024
Mailing address8175 Reliable Pkwy, Chicago, IL 60686-0081

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