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Organization

TRINITY HEALTH - MICHIGAN

Active
Parent organization
TRINITY HEALTH - MICHIGAN
Other names
Heartside Health Clinic
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
359 S DIVISION AVE, GRAND RAPIDS, MI 49503
(616) 685-3800
(616) 235-0913
Mailing address
245 STATE ST SE, STE 1A, GRAND RAPIDS, MI 49503
(616) 685-8050
(616) 685-1818

Taxonomy

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

Other

Enumeration date
06/25/2007
Last updated
05/04/2026
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