MEDICARE: CATHERINE'S HEALTH CENTER

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
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1407742018
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CATHERINE'S HEALTH CENTER

Provider Business Mailing Address
First Line	:	950 36TH ST SW
Second Line	:
City	:	WYOMING
State	:	MI
Zip	:	49509-3587
Country	:	US
Telephone Number	:	616-336-8800
Fax Number	:

Provider Business Practice Location Address
First Line	:	1440 DAVIS AVE NW RM 100
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49504-3112
Country	:	US
Telephone Number	:	616-336-8800
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	SARA BROOKS
Credential	:
Telephone Number	:	616-336-8800

Provider Enumeration Date	:	06/18/2025
Last Update Date	:	06/18/2025

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Directions to “CATHERINE'S HEALTH CENTER ” Practice Location

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