Trinity Health-Michigan

LBN: Trinity Health-Michigan
Trinity Health-Michigan is an health care organization with primary practice located at 360 Division Ave S Ste 1E , Grand Rapids MI 49503-4501. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty. Trinity Health-Michigan can be contacted via phone (616) 685-1080, or through Casalou, Robert via phone (734) 712-3792.

Contact Information

Primary practice address
360 Division Ave S Ste 1E Grand Rapids MI 49503-4501
Fax:
Website:
Authorized official contact:
Name: Casalou, Robert

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1447960299
LBN Legal business name Trinity Health-Michigan
DBA Doing business as
Authorized official Casalou, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2022
Last updated Dec 2nd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447960299 NPPES
Michigan MEDICAID 1700321551
Michigan Other 5301011112

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