Organization
TRINITY HEALTH GRAND HAVEN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL P GUSHO (CFO)
(734) 398-0642
Entity
Organization
Contact information
Practice address
1309 SHELDON RD, GRAND HAVEN, MI 49417-2404
(616) 842-3600
Mailing address
1309 SHELDON RD, GRAND HAVEN, MI 49417-2404
(616) 842-3600
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590G000010
BLUE CROSS AMBULANCE
MI
Enumeration date
11/20/2007
Last updated
04/18/2024
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