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NPI Code Detail

MEDICARE: TRINITY HEALTH GRAND HAVEN HOSPITAL

MEDICARE: TRINITY HEALTH GRAND HAVEN HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital
2282N00000XGeneral Acute Care Hospital700010MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
114578OTHERMIPRIORITY HEALTH
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
300162OTHERMIBLUE CROSS

General Provider Information

NPI Number : 1942379284
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRINITY HEALTH GRAND HAVEN HOSPITAL
Provider Business Mailing Address
First Line : 1309 SHELDON RD
Second Line :
City : GRAND HAVEN
State : MI
Zip : 49417-2404
Country : US
Telephone Number : 616-842-3600
Fax Number : 616-847-5621
Provider Business Practice Location Address
First Line : 1309 SHELDON RD
Second Line :
City : GRAND HAVEN
State : MI
Zip : 49417-2404
Country : US
Telephone Number : 616-842-3600
Fax Number : 616-847-5621
Authorized Official
Title or Position : SR VP OPERATIONS
Name : JOHN FOSS
Credential :
Telephone Number : 231-861-3029
Provider Enumeration Date : 11/08/2006
Last Update Date : 03/19/2026

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Directions to “TRINITY HEALTH GRAND HAVEN HOSPITAL ” Practice Location

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