| Trinity Health-michigan | |
|
310 Lafayette Ave Se Ste 410 Grand Rapids MI 49503-4693 | |
| (616) 685-8200 | |
| Not Available |
| Full Name | Trinity Health-michigan |
|---|---|
| Speciality | Clinic/Center |
| Location | 310 Lafayette Ave Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Matthew Paul Biersack (PRESIDENT) |
| Authorized Official Contact | 6166856413 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Health-michigan 310 Lafayette Ave Se Ste 410 Grand Rapids MI 49503-4693 Ph: (616) 685-8218 | Trinity Health-michigan 310 Lafayette Ave Se Ste 410 Grand Rapids MI 49503-4693 Ph: (616) 685-8200 |
| NPI Number | 1447456173 |
|---|---|
| Provider Enumeration Date | 06/21/2007 |
| Last Update Date | 05/06/2026 |
| Medicare PECOS PAC ID | 7618878943 |
|---|---|
| Medicare Enrollment ID | O20200408004236 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447456173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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