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Organization

TRINITY HEALTH - MICHIGAN

Active
Parent organization
TRINITY HEALTH - MICHIGAN
Other names
Sparta Family Health Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
TRINITY HEALTH - MICHIGAN
Authorized official
ARIANA GRACE RAYMOND (MANAGER PROVIDER ENROLLMENT)
(734) 343-1466
Entity
Organization

Contact information

Practice address
475 S STATE ST, SPARTA, MI 49345-1549
(616) 685-1300
(616) 887-5989
Mailing address
1900 44TH ST SE, KENTWOOD, MI 49508-5008

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
06/08/2017
Last updated
05/04/2026
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