Trinity Health - Michigan in Grand Rapids - Federally Qualified Health Center (fqhc)
Trinity Health - Michigan - NPI 1902002272
Trinity Health - Michigan is a Federally Qualified Health Center (fqhc) in Grand Rapids, Michigan. Trinity Health - Michigan practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Trinity Health - Michigan is 1902002272. The last update date is 2013-01-10.
Trinity Health - Michigan's current location address is 245 State St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6166858050 and fax number 6166851818. The mailing address for Trinity Health - Michigan is 245 State St Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Trinity Health - Michigan |
|---|---|
| Address | 245 State St Se, Grand Rapids, Michigan |
| Phone Number | 6166858050 |
| Fax Number | 6166851818 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mccorkle H Philip |
| Telephone Number | 6166851808 |
NPI Number Detail
| NPI Number | 1902002272 |
|---|---|
| Provider Enumeration Date | 2007-06-25 |
| Last Updated Date | 2013-01-10 |
Provider Mailing Address Detail
| Address | 245 State St Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 49503 |
| Phone Number | 6166858050 |
| Fax Number | 6166851818 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
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Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
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What is the Trinity Health - Michigan's unique identification number?
The Trinity Health - Michigan has been assigned the NPI (National Provider Identifier) Number 1902002272 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Trinity Health - Michigan is physically located?
The Trinity Health - Michigan is situated at the following address: 245 State St Se, Grand Rapids, MI 49503.
What is the Trinity Health - Michigan's area of specialization and corresponding taxonomy classification?
The Trinity Health - Michigan's specialty field is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1902002272 to Trinity Health - Michigan?
The Trinity Health - Michigan received its 1902002272 assignment from the Centers for Medicare & Medicaid Services on 2007-06-25.
As of what date was the information regarding Trinity Health - Michigan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Trinity Health - Michigan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-01-10.