TRINITY HEALTH- MICHIGAN


Address: 310 Lafayette Ave Se, Ste 410, Grand Rapids, MI 49503-4693
Phone: 6166858200

TRINITY HEALTH- MICHIGAN (NPI# 1447456173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447456173
Entity Type Organization
Organization Name TRINITY HEALTH- MICHIGAN
Other Organization Name MCAULEY HEALTH CENTER
Practice Address 310 Lafayette Ave Se
Ste 410
Grand Rapids
MI 49503-4693
Mailing Address 245 State St Se
Ste 1a
Grand Rapids
MI 49503-4328
Practice Telephone 6166858200
Mailing Telephone 6166851808
Enumeration Date 2007-06-21
Last Update Date 2013-01-10
Authorized Official Name PHILIP H MCCORKLE JR. (CEO)
Authorized Official Telephone 6166855000
Is Organization Subpart Y
Parent Organization Name TRINITY HEALTH- MICHIGAN

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
MCAULEY HEALTH CENTER Doing Business As Name - Organization

Office Location

Street Address 310 LAFAYETTE AVE SE
STE 410
City GRAND RAPIDS
State MI
Zip Code 49503-4693

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326043829 William Gene Heeringa Specialist 310 Lafayette Ave Se, Ste 400, Grand Rapids, MI 49503-4693 2005-06-20
1447788534 Grand Anesthesia Pllc Anesthesiology 310 Lafayette Ave Se, Grand Rapids, MI 49503-4693 2017-06-01
1467905133 Tiffany D Rebandt Nurse Practitioner 310 Lafayette Ave Se, Suite 400, Grand Rapids, MI 49503 2016-07-29
1073966628 Orena J Kirchner Nurse Practitioner 310 Lafayette Ave Se, Suite 400, Grand Rapids, MI 49503-4693 2016-07-19
1730538489 Michelle Webb Nurse Practitioner 310 Lafayette Ave Se, Suite 400, Grand Rapids, MI 49503-4693 2016-06-03
1114395803 Lucy Ledesma Nurse Practitioner 310 Lafayette Ave Se, Ste 410, Grand Rapids, MI 49503-4693 2015-09-11
1598140303 Faith Van Oss Nurse Practitioner 310 Lafayette Ave Se, Ste 415, Grand Rapids, MI 49503-4693 2015-07-22
1225464555 Beth Stevenson Nurse Practitioner 310 Lafayette Ave Se, Suite 301, Grand Rapids, MI 49503-4693 2013-09-18
1578859542 Michelle Kosovec Surgery 310 Lafayette Ave Se, Suite 301, Grand Rapids, MI 49503-4693 2011-06-28
1942524020 Anamaria Bianca Bondici Internal Medicine 310 Lafayette Ave Se, Ste 410, Grand Rapids, MI 49503-4693 2010-03-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801496195 Airway Oxygen, Inc. Durable Medical Equipment & Medical Supplies Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 2020-10-27
1730707282 Adriana Molina-schmuker Counselor 901 Eastern Avenue Ne, Grand Rapids, MI 49503 2020-07-10
1477176949 Kimberly Buskirk Specialist 1131 Ionia Ava Nw, Grand Rapids, MI 49503 2020-05-19
1124647805 Jared Host Speech-Language Pathologist Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 2020-04-13
1265061378 Heather Gladfelter Student in an Organized Health Care Education/Training Program 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 2020-04-02
1194368647 Amy Jo Arends Nurse Practitioner 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 2019-10-28
1376185199 Beth Arce Occupational Therapist 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 2019-10-14
1295387256 Althea Ziolkowski Licensed Practical Nurse Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 2019-07-10
1790340719 Heather Anne Fox Occupational Therapist Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 2019-05-06
1184182883 April L Kaiserlian Social Worker 983 Spaulding Ave Ne, Ada, MI 49503 2019-03-12
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730471368 Justin L Shields Clinic/Center 25 Michigan St Ne Ste 5100, Grand Rapids, MI 49503-2572 2011-05-16
1902002272 Trinity Health - Michigan Clinic/Center 359 S Division Ave, Grand Rapids, MI 49503 2007-06-25
1811427826 Catherine's Health Center Clinic/Center 1211 Lafayette Ave Ne, Grand Rapids, MI 49505-5092 2017-06-13
1962933416 Trinity Health-michigan Clinic/Center 1246 Madison Ave Se, Grand Rapids, MI 49507-1761 2017-03-27
1023558533 Cherry Health Clinic/Center 100 Cherry St Se, Grand Rapids, MI 49503-4526 2017-03-02
1154584373 Trinity Health - Michigan Clinic/Center 730 Grandville Ave Sw, Grand Rapids, MI 49503-4920 2008-07-08
1508063561 Saint Mary's Health Services Clinic/Center 730 Grandville Ave Sw, Grand Rapids, MI 49503-4920 2007-07-02
1417154477 St Mary's Hlth Svcs Clinic/Center 359 Division Ave S, Grand Rapids, MI 49503-4537 2007-07-02
1902002264 St Marys Hlth Svcs Clinic/Center 245 Cherry St Se, Ste 306, Grand Rapids, MI 49503-4607 2007-06-25
1710182431 Professional Financial Services Clinic/Center 1246 Madison Ave Se, Grand Rapids, MI 49507-1761 2007-06-21
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Competitor

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City GRAND RAPIDS
Zip Code 49503

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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