Saint Mary's Health Services

Specialty details in registry · Grand Rapids, MI

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At a glance

200 Jefferson Ave Se, Grand Rapids, MI 49503-4502

NPPES record updated May 5, 2026. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

200 Jefferson Ave Se
Grand Rapids, MI 49503-4502

Professional details: NPI, taxonomy & registry record

NPI1063917425

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 207RG0300X
Enumeration date: Mar 28, 2018
Record updated: May 5, 2026

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Family Medicine

207Q00000X

Specialty details in registry

207QG0300X

Specialty details in registry

207QH0002X

Internal Medicine

207R00000X

Specialty details in registry

207RG0300X · Primary

Specialty details in registry

207RH0002X

Physician Assistant

363A00000X

Nurse Practitioner

363L00000X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

200 Jefferson Ave Se
Grand Rapids, MI 49503-4502

Phone: (616) 776-0682
Fax: (616) 685-1846

Mailing address

1900 44TH ST SE

KENTWOOD, MI 495085008

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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