Provider Type Icon

TRINITY HEALTH-MICHIGAN NPI 1447960299


NPI Information

NPI: 1447960299
Provider Name: TRINITY HEALTH-MICHIGAN
Classification: Pharmacy - 3336S0011X
Entity Type: Organization

Specialization: Specialty Pharmacy

CLIA Number: 23D2271411

Address:
360 DIVISION AVE S STE 1E
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 685-1080
Get Directions

TRINITY HEALTH-MICHIGAN is a specialty pharmacy pharmacy in Grand Rapids, MI. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. TRINITY HEALTH-MICHIGAN NPI is 1447960299. The provider is registered as an organization entity type.

The provider's business location address is:

360 DIVISION AVE S STE 1E
GRAND RAPIDS, MI
ZIP 49503-501
Phone: (616) 685-1080

The provider's authorized official is Robert Casalou .
The authorized official title is President/ceo and has the following contact phone number (734) 712-3792.

The CLIA number assigned to this NPI record is 23D2271411 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/2/2022 and was last updated on 12/2/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
33336S0011XPharmacySpecialty PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11700321551MEDICAIDMICHIGAN
25301011112OTHERMICHIGANPHARMACY LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.