Organization · Type 2 NPI

Trinity Health - Michigan

Federally Qualified Health Center (FQHC) · Sparta, MI

NPI number 1245769744 Active

Practice location

475 S State St
Sparta, MI 49345-1549

Call (616) 685-1300 Map

Fax (616) 887-5989

Mailing address

1900 44th St SE
Kentwood, MI 49508-5008

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

13 other providers at this address

Other federally qualified health center (fqhc) providers in Sparta

Intercare Community Health NetworkFederally Qualified Health Center (FQHC) Sparta, MI NPI 1306064720

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NPI record

NPI: 1245769744
Entity type: Organization (Type 2)
Issued: Jun 8, 2017
Last updated: May 4, 2026
Status: Active
Subpart: Yes of Trinity Health - Michigan

Other names

<unavail>
Sparta Family Health Center · doing business as

Authorized official

Ariana Grace Raymond
Manager Provider Enrollment
(734) 343-1466

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About NPI 1245769744

Trinity Health - Michigan's National Provider Identifier is 1245769744, issued on Jun 8, 2017. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Sparta, MI. The record was last updated on May 4, 2026.