# ADVANTAGE HEALTH SAINT MARY'S MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811585185
- **Authorized official:** THOMAS FOSTER MD (CMO)
- **Authorized official phone:** (616) 685-1802

## Contact information

- **Practice address:** 730 GRANDVILLE AVE SW, GRAND RAPIDS, MI 49503-4920
- **Practice address phone:** (616) 685-8400
- **Practice address fax:** (616) 742-1322
- **Mailing address:** 730 GRANDVILLE AVE SW, GRAND RAPIDS, MI 49503-4920
- **Mailing address phone:** (616) 685-8400
- **Mailing address fax:** (616) 742-1322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 01/04/2021
- **Last updated:** 02/23/2024