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NPI Code Detail

MEDICARE: TRINITY HEALTH-MICHIGAN

MEDICARE: TRINITY HEALTH-MICHIGAN
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
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1447456173
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRINITY HEALTH-MICHIGAN
Provider Business Mailing Address
First Line : 310 LAFAYETTE AVE SE STE 410
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49503-4693
Country : US
Telephone Number : 616-685-8218
Fax Number :
Provider Business Practice Location Address
First Line : 310 LAFAYETTE AVE SE
Second Line : STE 410
City : GRAND RAPIDS
State : MI
Zip : 49503-4693
Country : US
Telephone Number : 616-685-8200
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MATTHEW PAUL BIERSACK
Credential :
Telephone Number : 616-685-6413
Provider Enumeration Date : 06/21/2007
Last Update Date : 03/10/2026

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Directions to “TRINITY HEALTH-MICHIGAN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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