ADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP NPI 1952340911

NPI Information

NPI: 1952340911
Provider Name: ADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
200 JEFFERSON SE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 685-5000
Get Directions

ADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP is a multi-specialty clinic center in Grand Rapids, MI. ADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP NPI is 1952340911. The provider is registered as an organization entity type.

The provider's business location address is:

200 JEFFERSON SE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 685-5000

The provider's authorized official is David E Blair .
The authorized official title is Cmo and has the following contact phone number (616) 685-1800.

The enumeration date for this NPI number is 6/5/2006 and was last updated on 3/1/2013.

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
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes
2	282N00000X	General Acute Care Hospital				No

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
1	0P32930	MEDICARE PIN

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: 11/14/2023

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »